Order Information () |
| Gift Certificate #MCTGC1167905727 | | - Amount: | US$ 12 | | Gift Certificate #MCTGC1167906394 | | - Amount: | US$ 12 | | Gift Certificate #MCTGC1167906478 | | - Amount: | US$ 12 | | Gift Certificate #MCTGC1167906644 | | - Amount: | US$ 12 | | Gift Certificate #MCTGC1167906679 | | - Amount: | US$ 12 | | Gift Certificate #MCTGC1167907147 | | - Amount: | US$ 12 | | Gift Certificate #MCTGC1167907376 | | - Amount: | US$ 12 | | Gift Certificate #MCTGC1167907449 | | - Amount: | US$ 12 | | Gift Certificate #MCTGC1167907489 | | - Amount: | US$ 12 | | Sub-Total: US$ 108 | | Shipping:US$ 0 | | Total: US$ 108 |
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Credit Card Information
Amount to payment US$ |
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Billing Information |
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To fax this form:
- Fill in all the necessary information
- Print
- Fax the form to Mycustomtailor at (66)-(02) 650-0956
( Note: 66 is the country code for Thailand and 02 is the area code for Bangkok . )
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Or
If faxing from the USA , you can fax to ( +1 ) 703 997 5593
If faxing from the UK , you can fax to ( +44 ) 2079 003 541
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