LITZ
Order pickup form
Pickup details
Please complete all required fields (
*
). Youโll receive a confirmation email with your responses.
PAGE 1 ยท ORDER & CONTACT
Pickup Location
*
Select pickup location
Mont Kiara
Order ID
*
Numbers only.
Mobile Number (WhatsApp)
*
Currently supports only Malaysian (+60) mobile numbers.
Email Address
*
A valid email is required so we can send you a copy of your responses.
Next
PAGE 2 ยท PICKUP PERSON
โ ๏ธ Identity verification is required for the person collecting the order.
Full Name (as on IC)
*
IC Number
*
Numbers only.
Intended Pickup Date
*
Can only be from tomorrow onwards.
Intended Pickup Time
*
HH
1
2
3
4
5
6
7
8
9
10
11
12
MM
00
15
30
45
AM/PM
AM
PM
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Next
PAGE 3 ยท DELIVERY ADDRESS
โ ๏ธ We will be
delivering the invoice to your address using DHL
(
NOT at pickup
).
Name (for invoice delivery)
*
Mobile Number
*
Currently supports only Malaysian (+60) mobile numbers.
Street Address
*
City/Town
*
State
*
-- Select State --
Johor
Kedah
Kelantan
Kuala Lumpur
Labuan
Melaka
Negeri Sembilan
Pahang
Perak
Perlis
Pulau Pinang
Putrajaya
Sabah
Sarawak
Selangor
Terengganu
Postcode
*
By continuing, you have understood that all information provided must be valid otherwise the order cannot be processed.
You have also understood that your address above needs to be complete and accurate for delivery of the invoice.
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Submit
