BLOOMINGJASMINE ORDER FORM
PLEASE FILL IN ALL DETAILS
Name
First Name
Last Name
Phone Number
*
-
Country Code
-
Area Code
Phone Number
ITEM
e.g Leeyanarahman, Shawlpublika,
CODE
e.g Leeyanarahman - Arabesq AQSA
QUANTITY
ALREADY A BLOOMING MEMBER?
Yes, 5% Discount (T&C applies)
No, and I want to be a member, 1 time payment of $5 added in total
Not now
DELIVERY OPTIONS are by JIFEE (Monday - Saturday) & Local Runner (Sunday & PH)
Standard Delivery (1-2 days delivery) $3.00 Nationwide
Local Runner (Same-day delivery)$5.00 - $6.00 Brunei-Muara Only
DELIVERY ADDRESS
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
PAYMENT OPTION
Online Transfer
CDM
BANK OPTION
BIBD Acc No 00001010064764 (Syarikat BloomingJasmine)
BAIDURI Acc No 05-00740-271535 (Pengiran Abd Hisham Ph Mahmud)
BIBD 00001010064764
BAIDURI BANK 05-00740-271535
SCREENSHOT PROOF OF PAYMENT or RECEIPT
Attach Screenshot.
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SPECIAL INSTRUCTIONS FOR DELIVERY TO OTHER ADDRESS
Submit Order
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