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Order Creation Form
* Indicates required question
Email
*
Record my email address with my response
Personal Details
Mother's Name
*
Your answer
Last 4 characters of NRIC
*
Your answer
Facebook/Instagram Username (example: @uwu.milkmade)
*
Your answer
Child's Age In Months
*
Your answer
Contact Number
*
Your answer
Collection Address
*
Your answer
Postal Code (number only, example: 123456)
*
Your answer
Delivery Address
*
Same as collection address
Other:
Required
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