Name of Student
Age of Student
Address
Gender Male Female
Venue Club 650, Quezon City-Saturdays 8-10am Dasmarinas Village, Makati -Thursdays 5:30-7:30pm Star Mall, Alabang, Muntinlupa-Saturdays 10am-12nn
Order the Saber and Glove? Yes, I am Right-Handed ( + PHP2,250.00) Yes, I am Left-Handed ( + PHP2,250.00) Not Yet I will buy from Ezkrima’s affiliate store in Club 650 No, I will buy from Ezkrima’s affiliate store in Festival Mall
Order the Mask and Jacket? Yes ( + PHP5,700.00) Not Yet I will buy from Ezkrima’s affiliate store in Club 650 I will buy from Ezkrima’s affiliate store in Festival Mall
Order a Female Chest Protector? Yes, Small ( + PHP950.00) Yes, Medium ( + PHP950.00) Yes, Large ( + PHP950.00) No I will buy from Ezkrima’s affiliate store in Club 650 I will buy from Ezkrima’s affiliate store in Festival Mall
Payment Mode Bank Deposit in Citibank Savings Paypal (additional P1000 to cover transaction fee) ( + PHP1,000.00) Cash In Person