Telebasura Order Form

Name:
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:
Terms:	I have read and agreed with the order and shopping policies of Telebasura. I understand that my purchase is final by submitting this form.

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