Order form




Questions marked with an asterisk * are required to be filled in, or they are not to be taken into account. :)

SPREE #8
*Brand of lens Geo Super Barbie/ Luxury Dueba
*Name:
*Email Address:
*Address:
(Please double check and make sure it is the right address)
*Description:
Include Item Name/ Code, Colour and Quantity
*Collection Method
Payment method?

Only fill in the following if you have transferred payment!
Amount Transferred ( total + postage )
Reference No. :
Date & Time of Transaction ( e.g. 06Sept2010/16:28 ) :
I-bank Name

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