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STROKE NATURAL THERAPY ORDER FORM
PLEASE, SUPPLY THE CORRECT INFORMATION FOR OUR DELIVERY AGENTS TO EASILY CONTACT YOU FOR THE DELIVERY
* Indicates required question
FULL NAME
*
Your answer
DELIVERY ADDRESS * *
*
Your answer
STATE/CITY * *
*
Your answer
DATE OF DELIVERY * *
*
MM
/
DD
/
YYYY
PHONE NUMBER * *
*
Your answer
WHATSAPP NUMBER
*
Your answer
Email/gmail address
*
Your answer
PLEASE SELECT YOUR COUNTRY COST PRICE
*
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GHANA: 1,170CEDIS
SOUTH AFRICA. R 3,500
DR CONGO. 280USD
KENYA: 26,000K
ZAMBIA: 4,300 KWACHA
UGANDA: 850,000 SHILLINGS
RWANDA. 295,500 RWANDAN FRANC
NIGERIA #88,500
We don't process order that is above 25 days. Let your collection date be under 25 days.
*
PLACE ORDER ONLY IF YOU WILL BE READY TO COLLECT THEM ON THE EXACT DATE YOU FILL ABOVE
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