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Bloom House - Malaysia Florist
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Order Form

Date of Order:Tuesday, June 27, 2017 - 01:23:02 AM

BLOOM HOUSE SDN BHD
14, Jalan 5/108C, Taman Sungai Besi, 57100 Kuala Lumpur

GST ID No: 00178047356

Customer Service:03-7984 2222
Fax:03-7987 6233
Email:bloomhouse1@yahoo.com
order@bloomhouse.com.my
ORDERED BY / BILL TO:
Contact Person:
Company Name:
Address:
Postcode:
Tel:
H/P:
E-Mail:
In the event if the recipient is not around, please indicate the following instruction:
Leave with the neighbour Leave it at the door/ others, please specify
Payment
RHB Bank Bhd A/C 2-14071-0008962-0
Alliance Bank Bhd A/C 14073-0-01-006298-4
MayBank Bhd A/C 5-14767-204236
*Please send deposit slip to us for the order confirmation.


Select Your Items (*You can only purchase one item with this form.)
Category: Items

NOTE : To ensure smooth delivery, please provide the recipient's contact number.
Deliver to (Name):
Address:
HouseOffice
Postcode:
Tel:House H/P Office
Delivery Date:
Message:
From:
Yes, I have read and agreed the terms & conditions.
Enter Captcha Code:
tb6A9
 

Note
-Confirmation of your email manual order will be made via telephone. If you do not hear from us by the next 24 hours after you have sent out your order, please contact us.
- Delivery of minimum RM40 will be imposed if delivery address is out of our free delivery zone. Click here for free delivery zone detail.
 

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