Payment Order

please email this form when payment has been made Item No._____ Order by: Name: ____________________ Payment made through:________________ (Paypal or M.lhuiller or etc.) Amount Paid:________________________ Tracking #,O.R Number ________________ Payment Date:_______________________ +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Paid to: Surname : Narciso First Name: Catalino Jr Middle Name: Santos Address: Siniguelas St.,General Santos City,Philippines email address: jelan_20@yahoo.com mobile number: 09108094455