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ONLINE ORDER FORM
Kindly fill in the form below with the correct details for ease of processing your order. * Please, verify current product prices and account before making payment.*
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CUSTOMER'S NAME
*
First
Middle
Last
EMAIL
PHONE NUMBER
*
PRODUCTS
*
CEMENT
CONSTRUCTION RODS
BINDING WIRES
WATER TANKS
CONSTRUCTION NAILS
ZINC
WHEEL BARROW
DECKING NYLONS
HEAD PAN
MATCHETS
SHOVELS
HAMMERS
KEYS
Select the products of your choice
QUANTITY OF THE ITEMS SELECTED ABOVE (INCLUDING OTHER INFORMATION)
KINDLY ENTER THE DESIRED QUANITIES OF THE ITEMS SELECTED ABOVE
DELIVERY SERVICES
*
WE WILL DELIVER THE GOODS
YOU WILL CARRY YOUR GOODS
EXPECTED DELIVERY DATE
*
PLEASE SPECIFY THE DATE YOU WISH FOR THE GOODS TO BE DELIVERED
DELIVERY ADDRESS (STREET ADDRESS, CITY AND STATE)
*
Submit
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