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Name
First Last
Email Address
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Number
Items Ordered

Include quantity next to item seperated by a comma. (i.e. item, 1)
Mode of delivery

Normal Postage ($1.50)

Registered Postage ($3.50)

SmartPac ($4.20)
Payment Mode

Atm Transfer

iBanking

For Atm transfer, please include clear snapshot of receipt.
For iBanking, please send email to us at lovelycannibals@gmail.com after transferring and state your iBanking nick, date and time.
Thanks.

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