Bloom Handcrafted Order Form
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 067 712 8535 or the.bloom03@gmail.com
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Which Medium Candles (250ml) would you like to order? (R105.00) *
Obligatorio
How many medium candles would you like to order? *
Please specify the quantity & scent i.e (1 Honeysuckle Sandalwood  , 3 Bed Peace). "none" if you don't want any
Which Large multi-wick candles (400ml) would you like to order? (R200.00) *
Obligatorio
How many large candles would you like to order? *
Please specify the quantity & scent i.e (1 Oud Oasis, 3  Jasmine Petals & Vanilla). "none" if you don't want any
Which Reed Diffusers (150ml) would you like to order? (R185.00) *
Obligatorio
How many reed diffusers would you like to order? *
Please specify quantity & scent i.e (1 Oud Oasis,  3 Blood Orange Pumpkin Pie). "none" if you don't want any.
Which Reed Diffuser Refill (200ml) would you like to order? (R235.00) *
Obligatorio
How many 200ml diffusers refills would you like to order? *
Please specify quantity & scent i.e (1 Bed Peace,  3 Oud Oasis). "none" if you don't want any.
Which Reed Diffuser Refill (500ml) would you like to order? (R475.00) *
Obligatorio
How many 500ml diffusers refills would you like to order? *
Please specify quantity & scent i.e (1 Bed Peace,  3 Oud Oasis). "none" if you don't want any.
Which Reed Sticks (8 per pack) would you like to order? (R30.00) *
Obligatorio
Which Room & Linen Mist (100ml) would you like to order? (R145.00) *
Obligatorio
How many Room & Linen Mists would you like to order? *
Please specify the quantity & scent i.e (1 Milk & Honey, 2 Oud Oasis). "none" if you don't want any
What kind of Packaging would you like? *
Obligatorio
How many Gift Boxes would you like to order? *
Please specify the quantity & type of packaging i.e (2 Bloom Box). "none" if you don't want any.
Discount Code *
Please kindly enter the discount code to redeem a discount
Contact info
Details are used strictly for ordering & fulfilling purchases.
Your name & surname *
Phone number *
E-mail
Preferred contact method *
Obligatorio
Delivery options *
Your address (if using Door to Door)
Nearest Postnet (if using Postnet)
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