Blu Coffee Distributors Order Form

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DaVinci Gourmet Products* This field is required.Please select a product

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DaVinci Classic Strawberry Syrup (750mL)
390.00PHP+
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DaVinci Mixology Series Fragrant Lychee Syrup (750mL)
449.00PHP+
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DaVinci Chocolate Sauce (2L)
700.00PHP+
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DaVinci Caramel Sauce (2L)
720.00PHP+
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DaVinci Salted Caramel Sauce (2L)
720.00PHP+
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DaVinci Butterscotch Sauce (2L)
720.00PHP+
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DaVinci Matcha Flavor Powder (1kg)
899.00PHP+
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DaVinci Frappease Powder (1.5kg)
1,000.00PHP+
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Your Complete Name* This field is required.

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Your E-mail Address* This field is required.

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Your Contact Number* This field is required.

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Your Business Information* This field is required.

Registered Business Name

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New Customer Account InformationPlease fill-in the following information

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Additional RequestsIf none, click "Next" to skip

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Privacy Policy & Terms* This field is required.PRIVACY POLICY: - Blu Coffee Distributors is committed to complying with Republic Act 10173 or the Data Privacy Act of 2012 and its Implementing Rules and Regulations - BY CLICKING THE AGREE BUTTON, I AGREE TO BLU COFFEE's PRIVACY POLICY AND CONSENT TO THE COLLECTION, USE, DISCLOSURE, STORAGE, AND PROCESSING OF MY PERSONAL DATA TERMS: - The online store is available in the Metro Manila area only - Prices are inclusive of taxes (delivery fees not yet included) - Please wait for a confirmation email regarding the product availability -The final payment instructions will be sent once the product availability has been confirmed - Please allow 1-3 business days (Mon-Fri, 8AM-3PM) to process your order. Orders made after 3PM will be processed on the next business day

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Date

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