Form – MadeSmart Clothing ||

Personal Information

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Full Name * Full name is required.

Phone Number * Enter a valid phone number.

WhatsApp Number (optional)

Email Address * Enter a valid email address.

Country * Country is required.

State / Region * State/region is required.

City / Town * City/town is required.

Delivery Address * Delivery address is required.

Postal / ZIP Code (optional)

Nearest Landmark (optional)

Identification Verification

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Identification Type *

National ID Card Passport Driver's License Other

Please select an ID type.

Identification Number * ID number is required.

Upload ID Document *

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Click to upload or drag & drop your ID

Accepted: JPG, PNG, PDF | Max size: 5MB

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Please upload your ID document.

How Did You Hear About Us?

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Please specify

Order Type

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Select Order Type *

🏭 Wholesale Order 🛍️ Retail Order

Please select an order type.

Product Selection

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Select Product(s) *

Boxer Shorts Boxer Briefs Singlets Other

Please select at least one product.

Custom Product Description

Size Selection

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Select Size(s) * Please select at least one size.

Total Quantity Required

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Total Quantity (pieces) * Enter the total number of pieces you want to order. Enter a valid quantity (minimum 1).

Size Breakdown

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Quantities per size must add up to your total quantity above.

XXL

Breakdown total: 0 pcs

Size breakdown total must equal total quantity.

Preferred Colors

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Color Preferences * List your preferred colors separated by commas. Please enter your preferred colors.

Minimum Order Quantity Information

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📦 Minimum Order Requirements

Boxer Shorts — Minimum 80 pieces per order
Boxer Briefs — Minimum 50 pieces per order
Singlets — Minimum 50 pieces per order

Orders below the minimum quantity per product may not be processed.

Delivery Information

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Preferred Delivery Method *

🚚 Home Delivery 📍 Pick-Up Point

Please select a delivery method.

Preferred Delivery Location

Preferred Delivery Date (optional)

Payment Information

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Select Payment Method *

🏦 Direct Bank Transfer

Transfer directly to our bank account

💳 Credit Card Payment

Visa, Mastercard accepted

📱 MTN Mobile Money

Pay via MTN MoMo

🟠 Orange Money

Pay via Orange Money

Please select a payment method.

ℹ️ Payment Notice

All orders are processed after payment confirmation. Use your Full Name as payment reference for bank transfers. Send proof of payment to our WhatsApp or email.

Additional Notes

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Notes / Special Instructions (optional)

Customer Confirmation

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Date * Date is required.

Customer Signature *

Draw your signature above

Please provide your signature.

I confirm and agree to all of the following: *

All information provided in this form is accurate and truthful. I have confirmed my selected sizes, preferred colors, and quantities as stated in this order. I understand that delivery fees may vary depending on location and will be communicated separately. I understand that orders are only processed after payment has been verified by the company. I have read and agree to the Terms and Conditions of Madesmart Clothing & Textile Haven.

Please tick all confirmation boxes to proceed.

✅ Your order has been submitted successfully! You will receive a confirmation email shortly.

❌ There was a problem submitting your order. Please try again.

By submitting this form you agree to our Terms & Conditions. Your information is securely transmitted and stored.