EmailMe Form - KUIH RAYA 2015 -Order Form www.Ai-sha.biz

Nama *
Email *
Phone Number *
### - ### - ####
Pick-up Date and Time *
DD / MM / YYYY HH : MM AM/PM
JENIS JENIS KUIH RAYA...........................................................Bilangan bekas

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CHOCOLATE CHIP (RM26 ~ 60pcs)
CHOCOLATE STICK (RM26 ~ 65pcs)
COCONUT DELIGHT (RM26 ~ 70pcs)
CHOCOLATE TART (RM30 ~ 65pcs)
CRISPY CHOCOLATE CEREAL (RM26 ~ 40pcs)
MELTING SAMPERIT ASLI (RM26 ~ 55pcs)
WHITE ALMOND (RM30~ 40pcs)
TART NENAS (RM26 ~ 40pcs)
DARK CHOCOLATE CHIP (RM26 ~ 50pcs)
POPIA SIRA MANIS (RM22 ~ 600g +/-)
POPIA SIRA MASIN (RM22 ~ 600g +/-)

OTHER REQUEST/INSTRUCTION (please specify below, if any)
Lokasi Collection :
Taman Tenaga Jalan Puchong (near to IOI MALL BANDAR PUCHONG JAYA) -- alamat penuh dan map akan di beri selepas tempahan diterima

** KLCC Collection : can be arranged but only on specific time Monday-Friday
-- shud interested please whatsapp 013-391-5633 for more details

Delivery : Sabtu 11 Julai & Ahad 12 Julai sahaja
** whatsapp saya di 013-391-5633 untuk request date selain 11 Julai & 12 Julai
** delivery applicable bagi pembelian 6 bekas ke atas sahaja (sila sertakan alamat penuh untuk saya quote delivery charge) di ruangan bawah :
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