Order Form
Please kindly fill all the information needed below
Sender's Data
This data is for record purpose
Sender’s Name
*
Sender’s Phone Number
*
Email
the invoice will be sent to your email
Receiver's
This data will be used for delivery, please kindly state complete information
Receiver’s Name
*
Delivery Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Receiver’s Phone Number
*
Delivery Time
*
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Day
/
Month
Year
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Hour
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30
Minutes
AM
PM
AM/PM Option
Greeting Message
all the message you typed here will be stated on the greeting card
Any Request
if you have any request regarding the arrangement, please state here
Reference (optional)
Browse Files
if you have any reference you can upload it here
Cancel
of
Payment to
*
BCA
CIMB
Permata VA
Mandiri VA
BNI VA
OVO
we will send the detail after you order confirmed through your whatsapp
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