| Name:
|
|
| Email Address:
|
|
| Delivery Name & Adress
|
|
| Mobile/Phone Number
|
|
| Code Chocolate
(Example : Box24,Box Love Special)
|
|
| Wording
(Example : Love You, Happy Birthday )
|
|
| Colour
|
|
| Special Request
|
|
| Delivery Date
|
|
| Delivery By
|
Pos Laju
Kurier Services
KTM Express
Self Pickup (Sekitar Perlis) |
| Payment Method
|
Maybank
Cimb
Bank Islam |
|
|
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