Allora Bloom Air Pre-Order Form
Full Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Allora's Flower Colllection
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Sunflower (Stemmed)
Enter description
120.00 PHP
120.00
PHP
Quantity
1
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10
Tulip (Stemmed)
120.00 PHP
120.00
PHP
Quantity
1
2
3
4
5
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9
10
Helianthus (Stemmed)
120.00 PHP
120.00
PHP
Quantity
1
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9
10
Lotus (Stemmed)
120.00 PHP
120.00
PHP
Quantity
1
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8
9
10
Aquamarine (Stemmed)
120.00 PHP
120.00
PHP
Quantity
1
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9
10
Mini Sunflower (Keychain)
85.00 PHP
85.00
PHP
Quantity
1
2
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8
9
10
Mini Tulip (Keychain)
85.00 PHP
85.00
PHP
Quantity
1
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10
Mini Hyacinth (Keychain)
85.00 PHP
85.00
PHP
Quantity
1
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9
10
Daisy (Keychain)
85.00 PHP
85.00
PHP
Quantity
1
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10
Mini Aquamarine (Keychain)
85.00 PHP
85.00
PHP
Quantity
1
2
3
4
5
6
7
8
9
10
Mode of Delivery (delivery fees will be added to the total payment)
Lalamove
Grab
Pickup
Mode of Payment
Cash
Gcash
CHOOSE YOUR SCENT
You can choose up to two scent combinations, receiving two sprays of each. Additionally, you can order a 10ml vial of your custom scent for an extra 20 PHP.
What are your (2) chosen scents?
Frankincense
Lemongrass
Eucalyptus
Tea Tree
Lavender
Please check the box if you wish to avail of the 10ml version of your chosen scent for an additional 20 PHP.
Yes, I will avail
No, I will not avail
Submit
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