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 (082) 309-6721 or cosmodumpling1@gmail.com
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Are you a new or existing customer?
Product options
Please enter the product number
Whats to order
What flavor(s) would you like to order?
6 = R30
12 = R60
10L = R150
20L = R300
plain
Carrot
Other (Order description)
Clear selection
Sweet Corn
SweetCorn 6 = R36
SweetCorn 12 = R72
SweetCorn 10L = R180
SweetCorn 20L = R360
sweet Corn
Clear selection
Multiply order by?
please say how many bucket you want?
10L Order
20L Order
Order description
please give us specific info? eg. plain 20L x2 carrot 10L x4 and special dish size x3
Order Date
MM
/
DD
/
YYYY
Time
:
Number of units you like
if none of the options above are not for you please tell us how many units you want?
Unit(s)
Delivery Address
Please fill in your address for your delivery?
Street address
Town/ City
GPS Coordinates
Contact info
Your name *
Phone number *
Email Address
Preferred contact method
Questions and comments
Submit
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