Peak Season Order Form – Kalidades House of Flowers

Branch*
- Kalidades General Maxilom
- Kalidades Central Bloc
- Kalidades SM Seaside
Order By*
First Name Last Name
Phone*
Email

Pls. input sender's email
Item ordered:*
Item color:*
Delivery Date:*
MM slash DD slash YYYY

Customer will fill in the date
Delivery Time*

: Hour

Minutes

AM/PM
Recipient Name:*
First Name Last Name
Recipients Contact number:*
(Please note that recipients contact number will only be called as a last resort, if we cannot reach your number during delivery)
Delivery Address w/ Landmark:*
Card message: (250 characters)*
Order Note (optional)
Mode of Payment:*
- Over the counter / instore
- Bank Transfer
- Gcash
Please wait for our billing before sending online payment.
*
I agree that the above details are proposed details for delivery and final details including delivery time, date item and others will be sent to me thru a final order slip generated by Kalidades.
Comments
This field is for validation purposes and should be left unchanged.