Order Application
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Your name: Rodrico Lastres
What kind of drug would you like to order: Syringe
How much of the chosen drug: 50
Delivery adress:(Example: Idlewood, 193 house) Too me.
Your Phone number: You got it, man.
Day and time you want your drug to be delivered: Anytime.
Age: 19
Questions:(Example: What is the drug effect?) -