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DrippyPlaza
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Telegram User:
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Name ( First & Last used in Order) :
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Email Used on Order:
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Order Number :
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Country Ordered To
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Billing Name & Address :
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Shipping Address (if same as billing , leave blank):
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Phone number used on order:
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Method of Payment on store: (provide last four digits of card)
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What items did you orders?
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Total of Order and the currency you paid in?
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When did you receive your order?
MM
/
DD
/
YYYY
Number of Boxes on Delivery
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Did you sign for it? or was it left somewhere outside? (no signature required, handed to you, etc):
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Do you want a refund or replacement?
Refund
Replacement
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Carrier Name & Tracking#:
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How will you pay me?
Paypal
Bitcoin
Ethereum
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