Order Form

Name:
Email Address:
Shipping Address:
Postcode:
Country：
Phone number:
Order (Name of items):
Facebook Username (If you are a fan on our Facebook Page):
Discount/VIP Code (If any):
Shipping:	Registered Express/ Fast Mail
Mode of Payment:	PayPal (Online Purchases Option,with 5% fee) PayPal (Gift Option, a minimal of fee will be borne by buyers/customers since we are in different location)
Paypal email (For those who select online purchases option, we will send you an invoice):
Terms and Conditions	I have read Apple of Your Eyes' terms & conditions and agree with them.

Form provided by Freedback.