Pre-Order Form (Second Batch)
1) This form will be treated with confidentiality.
2) Please fill out completely.
3) PRICE: P6,000/unit.
4) ETA LEAD TIME(SECOND BATCH): 25 DAYS
5) WE WILL FULFILL PAID ORDERS FIRST DUE TO LIMITED QUANTITY.
6) Shipping and delivery fees c/o customer.

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The future is not safe, but you can choose to be safe now.
Name *
Full Name of Recipient
Address *
Please indicate complete delivery address.
Email Address
We will only send you your invoice and/or payment link.
Mobile No. *
We will only contact you when your Aller Plasma Nano+ is ready to be delivered.
 Winter White
Space Gray + Black
Second Batch New Colors
Remarks
For orders more than 5 of each color, please indicate colors & quantity. (e.g. 6 white & 7 gray)
Preferred contact method *
Obrigatória
PAYMENT METHOD *
What is your preferred mode of payment?
Obrigatória
RESELLER *
Interested to be a reseller or provincial distributor? Please email us directly at info@allerplasma.com with subject header >> RESELLER/CITY/NAME
Safer Way to Keep Safe - Cold Plasma Technology
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Or visit our website at: www.allerplasma.com

First batch color - SOLD OUT! :)
Nano+ Features
PAPERLESS WARRANTY REGISTRATION - www.allerplasma.com/contact-us
Thank you for completing this pre-order form. Your Aller Plasma Nano+ is arriving soon! To learn more about the Nano+, please visit our website at www.allerplasma.com     Stay safe! - Aller Plasma Team
Kindly give us 2-3 days to process your invoice.
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