Borang Tempahan

Sparkle Mesmerized Bouquet

Steps to make an order:

1. Walk in to our shop

Sparkle Mesmerized Bouquet (12033010-U)
Bouquet House
Lot 2730 Jalan Cendana off Jalan Besar Sungai Lalang,
08100 Bedong,
Kedah.

Tel : 04-4235749 / 0104606565
  
Business Hour : 8.00am - 9.30pm

2. Door to door delivery

We provide surprise delivery for all occasion and only on business hours. Free delivery are only provided for customers make purchases for RM 300 and above.

You may contact to 0104606565 to place an order and more details.

• Order Form

• Name*
  First Name Last Name

• E-mail *

• Mobile Number *
   - Area Code Phone Number

• House number
•  - Area Code Phone Number

• Website

• Preferred Contact Online *
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• Facebook
• Payment Mode *
• Cash Bank Transfer Cash on delivery

• Payment Date *
   - Month  - Day Year
  Note: Payments should only be made with in 3 days
• * Note: Payments should only be made with in 3 days upon the submission of this form

• Courier *
  Lori Poslaju

• Full Address*

  Address 1
  Address 2
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• Ordered Items *

  	Product	Quantity	Budget
  Item 1
  Item 2
  Item 3
  Item 4
  Item 5
  Item 6
  Item 7
  Item 8
  Item 9
  Item 10

• Special order or request*
• Approval *
   I have read and agree to the terms and conditions. All the above information provided are true. If you found any mistakes you may cancel my order as i agreed.
• Anti Spam: *