BL's Longganisa Order Form

Welcome!

BL'S SPECIALTY SHOP ORDER FORM
Thank you for visiting us!

You may directly message us on Facebook or Instagram for further inquiries.
PICK UP LOCATION:

Total Gas Station Gulang-Gulang 1080 Dona Aurora Boulevard, Lucena City **Beside L.I.C. Building

Contact Details

Please fill out all the required information
Full Name*

First NameLast Name
Contact Number*
Please enter a valid phone number.
Facebook / Instagram
Account Name
Shipping Method*

Pick UpDeliverDeliver within Lucena City
Preferred Pick up / Delivery Date

MonthDayYear
Pick up / Deliver Time

Hour Minute

AM/PM Option
Delivery / Pick up Instructions
If you have any special Instructions regarding your orders
For pick up, you can skip this part

Delivery Details
Address

Street Address

Street Address Line 2

CityProvince

Nearest Landmark
Nearest Landmark
Shipping or Other Remarks

Click "SUBMIT" to complete your orders

Please wait for our confirmation of your orders. We will send you your order details and the total amount to be paid. You can send your payment transaction receipt on our Facebook or Instagram account for order confirmation. For any concerns or inquiries, you can directly message us.
Total Amount to be paid
Delivery fee will be added once we confirm your orders.
Total Amount
CLICK SUBMIT TO FINISH
Should be Empty:

Welcome!