Order Form

Name:
Contact Number:
Email Address:
Address/Place of delivery
Collection date and time
Item	Kaya (200gm) Kaya (400gm) None
Quantity	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Item	Bubur Cha Cha (min 5) Kuih Ketayap/Dadar (Pandan flavoured crepe with sweet coconut filling)- 3 pieces none
Quantity	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Any other requests or information

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