Order Form

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Order Form

Fill out this order request form only after making payments. Include delivery fees while making payments. If you would like faster service and direct information on current stock and pricing please contact me on 07055082825 or chiagozie@chiagoziesalami.com.

THANK YOU FOR YOUR PURCHASE.

Amount Paid *

Quantity Paid for *

Payment Method *

Bank Transfer to FCMB, Salami Chiagozie, 4027299015

Bank Transfer to Stanbic Ibtc, Salami Chiagozie, 9202459677

Cash Deposit to FCMB, Salami Chiagozie, 4027299015

Cash Deposit to Stanbic Ibtc, Salami Chiagozie, 9202459677

Required

Your name *

Phone number *

E-mail

Delivery Option *

Pick Up - Lagos

Pick Up - Abuja

Pick Up - Port Harcourt

Delivery - Lagos (N1,000)

Delivery - Outside Lagos (N2, 000)

Required

Delivery Address if not pick up

Questions OR comments

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