ORDER FORM
Status
New Customer
Repeat Customer
Nama:
Email Address :(PENTING)
Nombor Telefon:
Nama Penerima:
Alamat Penerima:
Nombor Telefon Penerima:
Code Chocolate:
Kuantiti:
Wording (Hepi Bday, Good Luck, Luv U, etc)
Colour Theme:
Sertakan Gift Tag:
Yes
No
Ucapan Diatas Gift Tag:
Sertakan Kad:
Yes
No
Ucapan Diatas Kad:
Special Request:
Penghantaran:
Pos AIRPAK EXPRESS (Ikut Berat & Kawasan)
Self PickUp (Tmn Sri Tanjung, Sg.Layar)
Self PickUp Date:
Tarikh Sepatutnya Penerima Mendapat Chocolate:
Polisterin Box (Tambahan RM10)
Yes
No
Submit
Should be Empty: