Order Form EMSRef – Zigrid Global Enterprise

Please Fill This Form To Place Your Order

Note; Mistakes Won’t Allow Us Process Your Order Accordingly

Mini EMS PainRef Combo

Your Full Name:

First Name

Last Name

Your Phone Number:
The delivery person will call you through this number to make delivery.

Alternative Phone Number (Optional):

Your Email Address (Optional):
(Receipt for your order will be sent here)

Your Full Address:
(Home Or Office, we deliver to anywhere you want)

Town/City

State

Select The Product You Want To Order

Select When You Want Us To Deliver Your Order

Subsidized Delivery Fee Of ₦1,500 Only.

If you can’t order through the form, kindly call or send text message (SMS) Or WhatsApp message to: 09048593620.

Thank You.

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Please Fill This Form To Place Your Order

Your Full Name: *

Your Phone Number: * The delivery person will call you through this number to make delivery.

Alternative Phone Number (Optional):

Your Email Address (Optional): (Receipt for your order will be sent here)

Your Full Address: * (Home Or Office, we deliver to anywhere you want)

Town/City *

State * AbujaAbiaAdamawaAkwa IbomAnambraBauchiBayelsaBenueBornoCross RiverDeltaEbonyiEdoEkitiEnuguGombeImoJigawaKadunaKanoKatsinaKebbiKogiKwaraLagosNassarawaNigerOgunOndoOsunOyoPlateauRiversSokotoTarabaYobeZamfara

Select The Product You Want To Order * select quantityBUY 1 (EMS Mini Massager Pad, Capsicum Pain Relief Patch and Knee Compression Brace) = ₦28,000 NairaBUY 2 (EMS Mini Massager Pad, Capsicum Pain Relief Patch and Knee Compression Brace) = ₦55,000 Naira

Select When You Want Us To Deliver Your Order select delivery timeDeliver Within 24Hours (Today or Tomorrow)Deliver Within 48hours (2Days)Deliver Within 72hours (3Days)