Payment Private
顾问的私人付款
名称
*
电子邮件地址
*
Date
*
Doctors
*
Select Doctor
No Preferred Doctor
Dr SK Tan
Dr Ben Yim
Dr Liz Lum YX
Dr Ian Tan
Dr Michelle Wong
Dr Vivian Yong
Dr Lina Yow
患者参考编号
*
顾问姓名
*
选择顾问
No Preferred Consultant
Angel Ling
Caline Chong
Cassandra Ho
Celeste Ng
Chrisline Chia
Eva Chai
Jennifer Wong
Jessica Wong
Karine Teoh
Kym Tee
Livess Low
Livia Seck
Mary Tan
No Preferred Consultant
Rachel Yip
Sammi Heong
Suk Cheng
Tina Teng
Vennus Wong
Yen Nee
Invoice Creator
*
Select Invoice Creator
Angel Ling
Caline Chong
Cassandra Ho
Celeste Ng
Chester Wan
Chrisline Chia
Eva Chai
Jeff Foong
Jennifer Wong
Jessica Wong
Karine Teoh
Kym Tee
Livess Low
Livia Seck
Mary Tan
Michelle Lim
Mun Ling
Nina Yeo
Rachel Yip
Sammi Heong
Sandy Liu
Sherlyn Pang
Suk Cheng
Tina Teng
Vennus Wong
Yen Nee
帐单
帐单地址
*
单位 / 楼层号
*
国家
*
城镇/城市
*
邮政编码
*
跟邮寄地址一样
运输
送货地址
*
单位 / 楼层号
*
国家
*
城镇/城市
*
邮政编码
*
采购项目
产品
10+10 Laser All Day
10+10 Laser Off Peak
5+5 Laser All Day
5+5 Laser Off Peak
IDS Ultherapy with 1 session Laser (First Timer)
IDS Ultherapy with 1 session Laser (Repeat)
Injectable - Plinest
Injectable - Plinest FAST
Injectable - Profhilo (per Syringe of 2ml)
Injectable - Profhilo (per Syringe of 3ml)
Injectable - Rejuran Healer
Injectable - Rejuran I
Option 1 - IDS U-Lift
Option 2 - IDS Baby Lift
Option 3 - Fillers (per Syringe)
REPEAT Laser All Day 10+10
REPEAT Laser All Day 5+5
REPEAT Laser Off Peak 10+10
REPEAT Laser Off Peak 5+5
数量
零售价
S$
折扣
%
$
总额
S$
+ 添加另一行
小计
0
运输
[ 编辑 ]
S$
0
S$
包括消费税 (8%)
0
累计
0
提交
谢谢
我们已收到查询。 请客户付款.
失败