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Name
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Email Address
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Telephone No.
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Address
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Date of Collection
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Delivery / Pick Up Venue
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Pandan Indah
Ampang
Ulu Kelang
Bandar Sri Permaisuri
Seri Kembangan
Putrajaya
Bandar Baru Bangi
By Courier
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Type of Chocolate
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Dark Chocolate
Milk Chocolate
White Chocolate
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Chocolate Option
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Praline
OreoChoc
TeddyChoc
LoliChoc
GiftChoc (custom made designs)
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Type of Filling
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Almond
Raisin
Walnut
Peanut Chocolate Chip
Strawberry Ganache
Chocolate Ganache
Peppermint Ganache
Caremel Ganache
Hazelnut Ganache
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Type of Packaging
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Decoration details (color, design, quantity, etc.)
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Notes
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