Order Form
Name *
Email Address *
Phone No. *
Expected Date for Delivery *

DD		/
MM		/
YYYY
Bank Option *
 CIMB 
 Maybank 
 RHB 
Delivery Options *
 Self Collect 
 Delivery 
 Post / Courier 
Address for Delivery

ORDER DETAILS :-

Product Code / Product Name *
Type of Chocolate *
 Milk Chocolate 
 Dark Chocolate 
 White Chocolate 
Quantity *
Filling/Nuts/Bubble Rice/Oreo Crumbs
Colour Theme
Remarks
Please add if you have specific direction or any details of your order (example : use dark chocolate, coat in white chocolate and stripe in orange)
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