♥ Order form ♥

Place your order by simply filling up this form. We will attend to your order and get back to you shortly. Submission of the form will be taken as a confirmed order and agreed to the terms and conditions stated.


Thank you for shopping with PoutyGossips! :)
Do note that registered postage is highly recommended!

p/s: If order form does not work, please send your order to our email: poutygossips.sales@gmail.com in the format similar to the form below, with subject heading as ORDER. Thank you!


* -- Required fields

Name:*
Email Address:*
Contact No.:
Shipping Address:*
Shipping:*	Local Normal Local Registered (SGD$3.75) International Normal (Postage varies) International Registered (Postage varies)
Payment mode:*	Internet banking ATM transfer Cash deposit T/T
Item code & Quantity (e.g #0101/ 2):*
Do you wish to join the mailing list? *	Yes No
How did you know about us? (e.g Facebook,word of mouth, blogshop directories-pls specify, etc)
Comment:

Put a website form like this on your site.