Purchase order form, Krachaidum, the marvellous thai herb, Krachaidum makes you as a knight

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Purchase order form ( For domestic customer and long stay tourist only ) If you are not in Thailand Click here
Only easy 4 steps , you can get goods from us. Please follow the 4 steps below :-
1.Please fill out your name , your address and amount of products you want to buy :-
Your name : Your lastname :
Your company / shop / org. / village / etc : Home No. : Moo :
Soi / Street : Road / Avenue : Tambon / Kwaeng :
Ampher / Khet : Province : Postal code : Tel. :
Email address ( If you have ) : @ ( eg. chaidum@yahoo.com )
Please fill out the amount of products you want to buy :--
Item	Code	Status	Description	Amount	Unit	Unit price (Baht)	Total (Baht)
1	F		Fresh Krachaidum ( 1 pack contain 100 grams)		pack	30
2	D		Dried Krachaidum ( 1 pack contain 15 grams.)		pack	70
3	T		Krachaidum tea ( 1 pack contain 10 sachets net weight 10 grams/pack)		pack	30
Total (Baht)
Transportation fee (Baht)
Grand total (Baht)
You can buy even fresh Krachaidum only 100 grams , or dried Krachaidum only 1 pack , or Krachaidum tea only 1 pack. We could sell each one with pleasure.
Please select method of payment :
2.When you finish filling your name , you address and our products you want to buy. Please read our commitment then click on "Check PO" button below , your purchase order will appear in textarea below the button. Please check your purchase order carefully. If you want to change something you can click on "Reset" button , then refill your order and recheck it again.
3. After you checked your purchase order. Please click on "Confirm PO" button , wait a second , thus your purchase order will automatically send to us. We will send you back the message that we have got your purchase order if you give us your E-mail address or your telephone number in the purchase order form.
4.Finally, you should send or transfer us the money = Baht to Our address and account. Now you have finished your purchase order procedure.
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Text in textarea below is your purchase order! Please note or copy your purchase order below. and keep it as your reference. * Don't fill anything in this text area. when you click on"Check PO" button , Your purchase order will appear automatically. *
Note 1. Term of receiving goods is up to your payment and your payment method as shown below ;- If you pay at the post office today , you will receive our products within 5 - 7 days. (approx.) If you transfer the money via any bank , you will receive our products within 2 - 5 days. (approx.) After you have transfered the money via bank , please confirm us by E-mail midphurua@yahoo.com or call us directly 089-5730299 2. For domestic transportation fee which evaluate by weight , if it's over 3,000 baht we keep it at 3,000 baht only. 3. All cost of our products is not include VAT. If you want the receipt include VAT please call us. 4. Price of goods could be change without notification. 5. Table of weights and measures : 1 kg. = 1,000 grams Thank you for purchasing