Bulk Order Form For Raya 2023

Billings details

Billing details

Please ensure your details in the billing details section on the bulk order form are correct and valid at the time of purchase. Your details will be the first point of contact if issues with your order arise. Mika will not be held responsible for unsolved order issues or failed deliveries due to no point of contact with you as the purchaser or sender.

Full name *

Company name (For company invoice)

Address

Phone *

Email address *

* Mandatory field

Order details

Order {{rep_order_index}}

Gift details

Selected Hamper / Gift Set *

Quantity

Greeting Card

Recipient's Name (Maximum 40 characters)

Sender's Name (Maximum 40 characters)

Greetings

Own Greeting (Maximum 150 characters)

Shipping details

Receiver’s Name *

Receiver’s Company Name

Receiver’s Address *

Receiver’s Postcode *

Receiver’s Phone (Mobile / fixed-line) *

Receiver’s Address Type *Home AddressOffice Address

Special notes for delivery (Optional)

* Mandatory field

Summary

Please check the information below. If everything looks correct, press SUBMIT INQUIRY.

Summary