Hibas Global Gifts

Combo order form Referral

Field label

Note :

Dear Customer ,

Please Note , All columns are mandatory . kindly insert atleast a 0 or Hash # in mandatory columns for successfull form submission
Please mention the referral code in the first column to Get 10 Dhirhams discount in this package

Referral Code

Name of the recipient :

Address :

Contact No:

Date of Delivery:

Required package :

Cake 1 kg + 1200 Gm Dairy milk bar with card =160 AED

Cake 1 kg + 700 gm Dairy milk bar + 12 flowers bouqeut + card =160 AED

Cake 1 kg + 1200 gm dairy milk bar + 12 flower bouquet + Card = AED 200

Message:

Cake message:

Sender Name:

Sender Number :

Email:

Special Requests:

Your choice to make the payment