Full Name:
Email Address:
Facebook page:
Cellphone Number: (This is where we will send our confirmation message)
Baller Design:	SameShitDifferentDay (1 for P180)
Quantity of order:
Shipping: (We only ship via Xend) *we don't ship to other countries sorry*	Within Metro Manila(+P50) Luzon(+P80) Visayas(+P90) Mindanao(+P100) None of the above(for meetups)
Complete Shipping Address:
Meet up: (+P30)	Glorietta MOA
Total Amount: [ Baller(s) fee + Meetup fee or Shipping fee ]
Payment options:	Gcash(For shipping. Pls add P10.00 for gcash fee) Western Union(For shipping) Meet Up
Comments/Special Instructions/Suggestions:

Put a website form like this on your site.