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HEMORRHOID REMOVAL PACK
WEAK ERECTION ORDER FORM
PLEASE SUPPLY THE NECESSARY INFORMATION FOR OUR AGENT TO EASILY CONTACT YOU FOR DELIVERY
If you know that you're not ready to receive the parcel whenever you're called by our agent, please do not fill out the order form
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* Indicates required question
FULL NAME
*
Your answer
DELIVERY ADDRESS *
*
Your answer
WHE 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
*
FULL package #47,500
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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