Full Name: (First and last name please.)

E-mail: (you@aol.com)            (Please double-check.  We cannot reply if incorrect.)

Home Phone Number  (with country, city, area codes):
 

Cellphone Number :
 

 

*Take note: The following information will be posted on our Distributor Page so Papemelroti customers can find you.  This is your free advertising! 

 

Business Trade Name :

Business Phone Number  (with country, city, area codes):
 

Business Address :
In case this product will be sent to someone other than yourself,
please include the name of the person to receive the delivery here.

Street
City/Town:	State/Prov.: Post./Zip Code:
Country:

Business Branches (if any) :
 

Business Website (if any) :
 

Payment Process Preferred more info
credit card payment  (US Dollars via Paypal and Philippine Pesos via Xoom)            
bank transfer                   
crossed check more info
at one of our branches  see branch list here                      
            Please specify branch

 

What currency will you use for this inquiry or order?
(Philippine pesos or US dollars only)
 

 

I would like the item to be:
mailed to me (I want to choose from your available options)
mailed to me via my preferred courier service 
ready for pick-up at this branch   
(To get the most discount, pay at the main branch or via bank before pick-up at any mall branches.
This service may not be available during peak months).

 

I would like to have a reseller banner
(allow 1-2 weeks production time) :
Size 3 FT x 1.13 FT costs P159 / $4 each
Size 2 FT x 0.75 FT costs P69 / $2 each
new size 

 

 

I need these products to be with me by this date:  

 

Products I'd like to order or inquire about:  

*Very important: please include the following:

        Quantity (how many pcs?)
        Item Code (for example: #1-535)
        Product Name/Description (for example: Little Angel Figurine)