Order Request

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Order Request

After you fill out this order request, we will contact you to go over details and availability before the order is completed. If you would like faster service and direct information on current stock and pricing please contact us at Contact us at 469 300 9227 or Email : sreenidhileafplate@gmail.com

Email *

Are you a new or existing customer? *

I am a new customer

I am an existing customer

What is the item you would like to order? *

Please enter the product number

Leaf Plates *

12 inch round palm leaf plates

10 inch round palm leaf plates

6 inch square palm leaf plates

5 inch round palm leaf bowls

7 inch round palm leaf bowls

10 inch round Sal leaf plates

6 inch round Sal leaf bowls

5 inch round Sal leaf bowls

Required

Quantity *

Contact info

Your name *

Phone number *

E-mail *

Preferred contact method *

Phone

Required

Questions and comments

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms