Banerjee Trucking Inc. Order Details Form

1
Please put your ingame name
First Name
Last Name
2
Contact Details
ingame Phone Number
e-mail address(OPTIONAL)
3
Please Select your biz category* This field is required.
Gun Store
24/7
Ad Store
Gym
Restaurant
Single Brand Food store(example - Pizza Stack)
Sex Store
Cloth Store
Nightclub
4
How many runs do you want* This field is required.
5
Forum Name* This field is required.Or put forum profile link
6
Exact Location of your store* This field is required.Upload picture please
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Make sure the location is comprehensible.
Cancelof
7
Please verify that you are LRP member.* This field is required.
Should be Empty: