Hari Raya Order Form

Please allow 3 full working days for delivery from date order confirmation.
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ORDERED BY
Name (Mr./Mrs./Ms.)
Title
Company
Address
Contact no.
Fax no.
Mobile no.
E-mail
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DELIVER TO
Name(Mr./Mrs./Ms.)
Title
Company
Address
Contact no.
Fax no.
Mobile no.
E-mail
_____________________________________________________________________________________

THEOBROMA CHOCOLATE LOUNGE PRIVILEGE MEMBER - 10% OFF (optional)
Name(Mr./Mrs./Ms.)
Card no.
New IC no.
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PRODUCT DESCRIPTION
1. Tin of Premium Cookies (±250g)  
b) Peppermint Green Tea & Hawaiian Delights - RM24.90
b) Peppermint Green Tea & Hawaiian Delights - RM24.90
c) Chocolate Kipferl & Suji Almond Vanilla - RM24.90
2. Melting Pineapple Tarts (±350g) - RM20.90
3. Pandan Layer Cake (400g) - RM16.90
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HAMPERS DESCRIPTION
Sulaman Aidilfitri - RM 60
Bingkisan Hati - RM 120
Kiriman Syawal - RM 230
Anyaman Delight - RM 330
Khazanah Impian - RM 430
 
Once you have placed your order, our representative will call you to confirm your gift hamper selection. We will then send you an invoice to issue the payment.