Nine Constitution Tea Order Form
Please make sure to fill in the required fields and submit this form to complete your order.
Name
*
Contact Number
*
Number must be contactable via whatsapp
Email
example@example.com
Delivery Mode
*
Self-Collection @ Capitol
Home Delivery @ Additional $8
Shipping Address
Street Address
Street Address Line 2 (optional)
City
State / Province
Postal / Zip Code
Nine Constitution Tea
prev
next
( X )
Neutral
10 sachets
$
15.00
SGD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
SGD
Yang-Deficiency
10 sachets
$
15.00
SGD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
SGD
Yin-Deficiency
10 sachets
$
15.00
SGD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
SGD
Qi-Deficiency
10 sachets
$
15.00
SGD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
SGD
Qi-Stagnation
10 sachets
$
15.00
SGD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
SGD
Heat-Damp
10 sachets
$
15.00
SGD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
SGD
Phlegm-Damp
10 sachets
$
15.00
SGD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
SGD
Blood Stasis
10 sachets
$
15.00
SGD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
SGD
Special
10 sachets
$
15.00
SGD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
SGD
Submit
Should be Empty: