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