First name

Last name

Phone number

Date

Enter your full address

Rental Type Rental TypeRental PackagePer Item Rent

Rental Package Rental Package Package 1 - ₱ 100 Package 2 - ₱ 100

Rental per Item Rental per Item Item 1 - ₱ 100 item 2 - ₱ 100 item 3 - ₱ 100