Order Form

[breatheday]

(EXAMPLE FORMAT OF ORDERING) 
please make payment before posting your orders.
(Click here) for payment options.

LJ nick/ name:
Email address:

Item 1
Item name:
Picture URL:
Colour:
Size:
Qty: 
Price:

Total no. of items:
Total amt:
Date of transaction:
Amt paid:
Transaction ref: