JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Liu Lian Kia Order Form
Please fill in your order particulars:
(delivery charges apply for both local & oversea delivery)
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Size Code
*
Your answer
Colour Code:
*
Your answer
Pattern Code:
*
Your answer
Emoticon Code:
*
Your answer
Additional Accessories
Ribbon (S$0.50)
Small Ring Bell (S$0.50)
Glasses (S$0.50)
Emoji Pack (S$1.50)
Attached Keychain (S$0.50)
Other:
Liu Lian Kia Name:
Give your Liu Lian Kia a name!
Your answer
Do you want to make a wired name for your Liu Lian Kia?
Additional charge of S$3 (PROMOTIONAL PRICE for Liu Lian Kia owners). See sample here:
Yes, I want a wired name for my Liu Lian Kia!
Delivery Address:
*
We will send the items to this address. Delivery charges applied.
Your answer
Customer Name:
*
Your answer
Customer Email:
*
We will send a confirmation email from
singaporeliuliankia@gmail.com
to your account with the details of your order.
Your answer
Customer Contact Number:
*
Your answer
Additional Remark
Is there anything else that you would like us to take note? If not, you can use this to leave us an encouraging message too!
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
