A Gift In A Box Order Form

Fill out the form to purchase products in our online shop. This form serves as a written contract between the seller and the buyer. Once the order form is submitted, cancellations are not allowed. AGAIN, CANCELLATIONS ARE NOT ALLOWED. CHANGES ARE NOT ALLO


I Have Read and Understood the TERMS and CONDITIONS and I AM NOT A BOGUS BUYER / JOY RESERVER. I am DEFINITELY SURE to pay the amount for Millicent's ONLINE SHOP products.
 Yes 
 No 
Items Ordered: Specify desired product number and size.
Date of Delivery

MM		/
DD		/
YYYY
Gift Card
Special Instructions

Shipping and Billing Information


Recipients Shipping Address


Reciepent's Name *
Prefix
First *
Last *
Suffix
Address *
Street Address *
Address Line 2
City *
State / Province / Region *
Postal / Zip Code *
Country *
Cellphone Number *
Email *

Billing Address

Your details here
Name *
Prefix
First *
Last *
Suffix
Address *
Street Address *
Address Line 2
City *
State / Province / Region *
Postal / Zip Code *
Country *
Email *
Cellphone Number *

###		-
###		-
####
Facebook ID *

Shipping and Payment

Shipping Mode
Payment Mode
PayPal Address
Leave blank if not applicable
Promo Code
Leave blank if not applicable
Rush Shipping? Applicable to IN STOCK ITEMS ONLY. Additional Php 30 for rush shipping.
Normal Shipping Days: MWF
Rush Shipping Days: TThS
 Yes, please ship as soon as possible. 
Would you like to be added in the Millicent's Closet newsletter?
 Yes 
 No thanks 
 I am already subscribed in the newsletter :)  
How did you find out about Millicent's Closet? *
Referrer
The referrer get's a chance to win an apparel!
I AGREE THAT ANY DAMAGE NOR DELAYS OF THE SHIPMENT OF MY ORDERED ITEMS, THE SELLER IS NOT LIABLE/RESPONSIBLE. *
 Yes 
Image Verification
captcha
Please enter the text from the image:
[Refresh Image] [What's This?]
Powered byEMF Survey
Report Abuse