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NAME*

EMAIL*

PHONE CODE*

PHONE NUMBER*

(Same As Sender)

NAME*

PHONE CODE*

PHONE NUMBER*

RECIPIENT ADDRESS*

CITY*

ZIP CODE*

Tick to remain conﬁdentiality

DELIVERY DATE*

TIMESLOT*

Occasion*

MESSAGE TEMPLATE*

CARD MESSAGE*

To:

Message:

From:

SPECIAL INSTRUCTION

PLEASE CHOOSE ONE OF THIS OPTIONS TO ENSURE SUCCESSFUL DELIVERY*

Please do not call recipient. If the recipient is not available upon delivery, I agree to re-delivery and pay the additional delivery fee

Please leave the item in front of the door, leave it with the Neighbor/ Receptionist/ Security Guard if the recipient is not available

Please call recipient before delivery

PAYMENT

Chocolate Lovers

SGD 187

Subtotal

SGD 187

Delivery Charge

Choose Delivery City First

Total

SGD 187