Order Request Form

Field

Details to Fill

Customer Name

[Enter your name]

Contact Information

[Phone number / Email]

Order Date

[DD/MM/YYYY]

Order Quantity (kg)

[Minimum 30kg] 

Product Type

[e.g., Roses, Lilies, Mixed Flowers]

Preferred Delivery Option

☐ Regular Schedule 

☐ Immediate Shipment (300kg+)

Delivery Address

[Full Address]

Special Instructions

[Optional: Any notes for procurement]