EmailMe Form - Pepper N Mint Order Form

SALES PERSON: *

COMPLETE NAME: *

ADDRESS: *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

TEL #:

Just put 000 if you don't have landline number.

MOBILE NO.: *

EMAIL ADDRESS: *

FACEBOOK ACCOUNT LINK: *

ORDER LIST: *

Please make sure that you indicate full details of your order: Name of the perfume scent & size of the bottle (60ml, 55ml, 30ml, & 15ml)

Mode of Payment: *

BDO

Western Union

M Lhuillier

Cebuana Lhuillier

Date of Payment: *

MM / DD / YYYY

When are you going to pay for the item?
Orders will only be shipped AFTER receiving your payment. (No exemptions) =)

*Please bear with us for being strict nowadays.
We do not want to be fooled/scammed again. Thank you for understanding! =)

Thank you for choosing Pepper N Mint perfumes!

"HAPPINESS is a PERFUME, you cannot pour on others w/o getting a few drops on yourself." =)

God bless You! :D