Manual Order - ContaClear
ContaClear
fill in Customer's Order details below:
Select how many you want to buy:
1 bottle of ContaClear Infection Formula = N19,500
2 bottles of ContaClear Infection Formula = N36,000
3 bottles of ContaClear Infection Formula = N52,000
Full Name
Phone Number
Alternative Phone Number
Email Address
Your Address for Delivery
City / Town
State
Lagos
FCT - Abuja
Rivers
Abia
Adamawa
Anambra
Akwa Ibom
Bauchi
Bayelsa
Benue
Borno
Cross River
Delta
Ebonyi
Enugu
Edo
Ekiti
Gombe
Imo
Jigawa
Kaduna
Kano
Katsina
Kebbi
Kogi
Kwara
Nasarawa
Niger
Ogun
Ondo
Osun
Oyo
Plateau
Sokoto
Taraba
Yobe
Zamfara
Payment Status
Payment on Delivery
Paid
Partial Payment
Order Source:
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Sales Rep
Ikeoluwa
Unwana
Others
Additional Notes (Optional):
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