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WEAK ERECTION ORDER REQUEST FORMS
PLEASE SUPPLY THE NECESSARY INFORMATION FOR OUR AGENT TO EASILY CONTACT YOU FOR DELIVERY
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FULL NAME
*
Your answer
DELIVERY ADDRESS * *
*
Your answer
WHEN DO YOU WANT US TO DELIVER THE PACKAGE
*
Choose
Within 24 hours
Within 48 hours
STATE/CITY * *
*
Your answer
PHONE NUMBER * *
*
Your answer
WHATSAPP NUMBER
*
Your answer
Email/Gmail address
*
Your answer
COST PRICE
*
Choose
ONE BOTTLE PACKAGE (UGS 270,000)
TWO BOTTLES PACKAGE (UGS 390,000)
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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