Thank you for choosing ROWELIZA. Please complete this form so we can process your retail order. We will confirm availability via SMS or email before asking for payment.

Fields to Add: 

1. Full Name
 

2. Contact Number
 

3. Email Address (Optional)
 

4. Order Details / Date

(Example: Item name, size, color, quantity)

5. Mode of Payment

• GCash / MAYA

• Bank Transfer ( BPI  or BDO )

• Cash on Pickup

6. Mode of Delivery / Pickup

• Lalamove / Grab 

• J&T / Courier shipping

• Store Pickup (Marikina)

7. Delivery Address (If applicable)

8. Proof of Payment (Upload only AFTER confirmation)
(File upload)
Allow: Images (jpg, png) and PDF
Note: Add a description — “Upload only after we confirm product availability.”

9. Agree to Terms
Kindly checkmark

• I confirm that the details above are correct and understand that orders will be processed after payment is verified.