PRODUK & TEMPAHAN

Nama:
Email Address:
No Telefon :
Alamat :
Kaedah Penghantaran :	Self pick up Post
Date to pick up (self pick up only) :
Date Majlis / Event (post delivery only) :
Type of choc / Jenis coklat :	Praline Oreo Lolichoc
Praline Shape / bentuk praline :	Heart Flower Rose Square with Line Daun Epal Strawberi Shell Spiral Gold Shape
Jenis Filling / perasa :	Mint Strawbery Orrange Raising Badam Hancur + Peanut Bubble Rise
Bilangan choc praline :
Oreo Choc Shape :	Heart / Love Flower Rose Edible Image
Nyatakan :	Ben 10 Mickey and friends Upin Ipin Dora The Explore Barbie
Bilangan Choc Oreo :
Pilihan Warna :	Biru Oren Pink Merah Hijau Putih Coklat Pupple / ungu Combination colour (nyatakan)
Jenis Event / Majlis (Birthday/kesyukuran/potong jambul/wedding/pertunangan dan sebagainya):
Jenis Pembayaran:	Maybank CimbClicks
Lain-lain tambahan (warna/tulisan/ucapan/with box/without box etc):

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