Name

Please enter your full name.

Email

Please provide your email address.

Phone Number

Enter your contact number for reservations.

Address

Enter your delivery address.

Preferred Contact Method

Select your preferred method of communication.

• Phone

• Email

• Mail

Furniture Item:

• Sofa

• Bed

• Dining Table

• Chair

Item Code/Model (if known):

Quantity:

Material Preference (if any):

• Sofa

• Bed

• Dining Table

• Chair

Desired Delivery Date:

Preferred Delivery Method:

• Store Pickup

• Home Delivery

Would you like to request any customization or special instructions for the furniture?

If Yes, please provide details:

Do you require assembly service?

Payment Method

• Credit/Debit Card

• Bank Transfer

• Cash on Delivery (COD)

Do you require a payment plan?