My-ShoppingBox

 
Register now to send gifts or packages to you and your loved ones!

Please fill up the form below with your personal information. All fields with an asterisk (*) are required.

Note: Please avoid using special characters '*, @, #, &' and others as these characters will be considered as an invalid entry

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Your Personal Information
* First Name
_
Middle Name:
_
* Last Name
_
* Email
_
* Telephone
_
Mobile:
_
Fax:
_
Note: Telephone, mobile and fax format should be as you dial the number. Ex. 8311155, 0323462402, 028331289, 90175519982
Please omit symbols/signs like dots., commas,, hyphens -, asterisk *, #, (parenthesis) &, / @
____________________________________________________________________________________________________________
Your Log-in Information
* Username:
_
* Password:
_
* Confirm Password:
_
 
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Your Billing Address

* Street 1:
_
Street 2:
_
* City:
_
* Province/Region:
_
* Country:
_
Zip Code:
_
In your street/address, please omit sysmbols/signs like asterisk *, # (parenthesis) & strokes /,@
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