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ULCER SOLUTION ORDER FORM
PLEASE, SUPPLY THE CORRECT INFORMATION,FOR OUR COURIER AGENT TO EASILY CONTACT YOU FOR DELIVERY
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FULL NAME
*
Your answer
DELIVERY ADDRESS
*
Your answer
WHEN WILL YOU LIKE US TO DELIVER TO YOU
*
Choose
WITHIN 24HOURS
WITHIN 48HOURS
STATE/CITY
*
Your answer
PHONE NUMBER
*
Your answer
WHATSAPP NUMBER
*
Your answer
email/gmail address
*
Your answer
COST PRICE
*
ONE USAGE PACK=#46,500
PLEASE PLACE YOUR ORDER ONLY IF YOU ARE READY FINANCIALLY BECAUSE YOU WILL BE CONTACTED FOR YOUR DELIVERY WITHIN 24 HOURS
*
I confirm i am ready financially before placing my order
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