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Billing Information / Maklumat Bil / 发票:

Buyer Name / Nama Pembeli / 买家 (Required / 必填) :

Email / E-mel / 邮箱 (Required / 必填) :

Buyer Mobile / Telefon Bimbit Pembeli / 买家手机 (Required / 必填) :

Buyer Other Contact / Nombor Lain Pembeli / 买家其他联系号码:

Company Name / Nama Syarikat / 发票公司名字 (for billing purpose):

Company Address / Alamat Syarikat / 发票公司地址 (for billing purpose):

Delivery Information / Maklumat Penghantaran / 送花资料 :

Recipient Name / Nama Penerima / 收花人姓名 (Required / 必填) :

Recipient Mobile / Telefon Bimbit Penerima / 收花人手机 (Required / 必填) :

Recipient Other Contact / Nombor Lain Penerima / 收花人其他联系号码:

Company Name / Shop Name / Building Name / Residential Name:

Delivery Address / Alamat Penghantaran / 收货地址 (Required / 必填) :

City / Bandar / 城市:

State / Negeri / 州属 (Required / 必填) :

Postcode / Poskod / 邮编 (Required / 必填) :

Delivery Date / Tarikh Penghantaran / 送花日期 (Required / 必填) :

Delivery Notice / Penghantaran Notis / 送花备注 :

Products Information / Maklumat Produk / 订购商品:

Product Code / Kod Produk / 商品号码 :

Flower Colors / Warna Bunga / 花的颜色 :

Flower Size or Quantity / 数量:

Product Notice / Produk Notis / 商品备注 :

If you have product imaga upload 如果有商品照片上载 :

Message Card / Kad Mesej / 卡片信息:

Payment Method / Cara Pembayaran / 付款方式 :