ULA VaLEI ENQUIRY/ORDER FORM
For urgent orders please complete this form and txt 022 451 3667. Pick up from Otara or can deliver at extra cost.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Date of your event your require your Lollie Lei (s)
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Select Your Lollie Lei Option (s)
Basic $15
Premium $35
Luxury $50
Please list your quantities and any special requirements ie colour, choice of confectionary and/or chocolate
Will you pick up or do you require delivery? (Please note: Pick up is from Otara or additional charges for delivery)
Pick up
Delivery Otara $10
Delivery South Auckland $20
Delivery Greater Auckland Area $40
Comments or Questions
Submit
Should be Empty: