EmailMe Form - Handstones Jewelry Order Form

Name *
First Last
Email *
Cellphone Number: *
Address *

Street Address City State / Province / Region Postal / Zip Code Country / Region
Birth Month *
♥ For freebies
Your Orders: *
♥ Quantity + Code. Example: 1 CBN1, 1 ASN1.
Modification (if any)
♥ e.g. Your choice of chain length, bracelet length, wrist circumference, person to receive your order, etc.
Time of order arrival can't be specified.
PAYMENT:
BPI Bank Deposit (Account # will be texted)
Globe GCash - (0915 645 7352)
♥ Take a picture of the BPI receipt & email (handstones@gmail.com) or send it via Facebook message.
COURIER:
Default (Fastrack)
JRS Express [LETTER (100g): Luz Php90 ♦ Vis Php 95 ♦ Min Php100 One Pounder (500g): Luz Php110 ♦ Vis Php 115 ♦ Min Php 120]
♦ ♦ FOR MEETUP ♦ ♦
>>>>>>>>>>>>>>>> Ignore if you choose shipping. <<<<<<<<<<<<<<<<<<<<
Place
*Meetup by appointment. Text, email or FB message first :)
Date and Time
MM / DD / YYYY
♥ Meet-up time agreed by appointment.
Liked us on Facebook? (facebook.com/Handstones.jewelry)
Yes
No
♥ Your Facebook URL or username.
Unique ID