Purchase Order for DISRUPTO Sequel T-Shirt Geometric Collection.
PRICE: 180.000/ per T-Shirt
Please transfer total amount of your purchase to any of our bank account:

PT WIR ASIA
Bank: BCA
Acc: 372.305.0.096
Address: Kantor Cabang Utama Kedoya Permai
Jln Raya Pejuangan Ruka Prisma
Kedoya Plaza Block A No. 1A, 4-5 Jakarta, Indonesia.

OR

PT WIR ASIA
Bank: MAYBANK
Acc No: 250.100.8.768
Address Kantor Cabang Pembantu Puri Indah Pasar
Jalan Puri Indah Raya Block 1 No. 18, Jakarta Barat, Indonesia


IMPORTANT NOTICE:

* Limited Stock

*Please send proof of payment (Bukti Transfer) to merchandise@the-disrupto.com with your name too.

*Collect your T-shirt at DISRUPTO 2018 merchandising booth at Plaza Indonesia on 23-25 November 2018.

Email address *
Full Name *
Purchase Order
Available Colors: White, Black & Grey
Size: XS, S, M, L & XL
State Quantity, Colour and Size (Example: 1 Black M, 2 Grey S and 5 White L) *
Can we have your delivery address (just incase)
A copy of your responses will be emailed to the address you provided.
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