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"A Self Love Journal" Order Form
This form is for Barbados based orders
ONLY
. Local price $35 BBD. Payment is Cash on Delivery.
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* Indicates required question
Email
*
Your email
FULL NAME
*
Your answer
CONTACT NUMBER
*
Your answer
DELIVERY ADDDRESS OPTIONS
*
Choose
Dome Mall, Warrens
Sky Mall, Haggatt Hall
Lanterns Mall, Hastings
Other address (may incur a $5-$10 fee dependent on location)
DELIVERY ADDRESS (If "OTHER" selected above)
Your answer
ORDER QUANTITY
*
Choose
1
2
3
4
5
PREFERRED DELIVERY DATE (Every effort will be made to meet this date)
*
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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