ONLINE ORDER FORM

Payment Terms	Either secure online payment before delivery or via Cash or cheque upon delivery. Please make cheques payable to: Plus Life Pte Ltd
Delivery Charges	For orders above SG$120, delivery will be free of charge. For orders below SG$120, there will be a SG$12.00 delivery charge
Order Confirmation	You will be contacted and your order will be confirmed before a delivery is scheduled.
Delivery Schedule	Our representative will call you prior to delivery to re-confirm the day and time.

First Name *

Last Name *

Your Email Address

Contact Number * ( required to confirm order and arrange delivery )

Membership Status * ( required to be eligible for special discounts )
Existing Member Non-Member

Address * ( required to confirm order and arrange delivery )

Singapore Postal Code

Simply type in the products and quantity you require.

* fields are compulsory