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ENTER SALES INFORMATION HERE
Full Name
Email
ID No.
(Reg. Members Only)
Cellphone
Home Address
(Optional for Reg. Members)
Are you Member of "Earn While You Shop" Program?
(Yes/No)
Type the Product No. on the space labeled PID1, PID2, etc., and corresponding quantities on QTY1, QTY2, etc.
PID1
QTY1
PID2
QTY2
PID3
QTY3
PID4
QTY4
PID5
QTY5
PID6
QTY6
PID7
QTY7
PID8
QTY8
PID9
QTY9
PID10
QTY10