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Name

First NameLast Name
BIRTH Date:*

MonthDayYear
BIRTH DAY
GENDER:*
MALE OR FEMALE
SHIPPING (RECIEVER ADDRESS)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail*
ex junlieveran@yahoo.com
FACEBOOK ACCOUNT*
www.facebook.com/iaimjunlieveran
HOW MANY ACCOUNTS U WANT:*
1accounts/3 accounts/7accounts
CHECK THE BOX OF YOUR CHOICE:
(MEGA PACK OR GLOBAL PACK)
MEGA PACK 12,980 PHP.*

1 MEGA PACK 12,9803 MEGA PACK 38,9407 MEGA PACK 90,860NOT 12,980 Package
GLOBAL PACK 6,980 PHP.*

1 GLOBAL PACK 6,9803 GLOBAL PACK 20,9407 GLOBAL PACK 48,860NOT 6,980 package
SHIPPING RATE:

Please CHOOSE the CORRECT shipping rate based on your SHIPPING ADDRESS to prevent your order to put on hold. TAKE NOTE: Only Package C option is available for shipping.
SHIPPING COST (METRO MANILA) Makati, Pasig, Las Pinas, Caloocan, Manila, Mandaluyong, San Juan, Quezon City *

1 Account = 300 Php3 Accounts = 400 Php7 Accounts = 900 PhpNOT Metro Manila
SHIPPING COST (PROVINCIAL) Antipolo, Rizal, Cavite, Batangas, Luzon , Visayas, Mindanao *

1 Account = 350 Php3 Accounts = 600 Php7 Accounts = 1,000 PhpNOT Provincial
SHIPPING INTERNATIONAL:

1 Account = 2,000 Php3 Accounts = 2,500 Php7 Accounts = 3,500 PhpNOT International
TOTAL:*
Do not forget your TOTAL Amount
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Interested to Join AIM GLOBAL?