Telebasura Order Form


Email Address:

Mobile Number:

Delivery Address:

Order (Indicate Quantity and Product Name with the description for MTO items:

Mode of Payment:

BDO Bank Deposit

Pick up (Cash on Delivery)- SOFA Retail Lab, Archeology Wing, 2F of the Power Plant Mall, Makati City ONLY

Where did you hear about us?

Other Comments:


I have read and agreed with the order and shopping policies of Telebasura.

I understand that my purchase is final by submitting this form.

This HTML form was created by Freedback.