Mobile. Fax. Email. Preferred collection date. Remarks. Team member. ID no ... with 3rd parties and you will able to opt
NO
MOONCAKE ORDER FORM 2016 PRICE PER PIECE RM
SELECTION OF MOONCAKES
QUANTITY
TOTAL (RM)
TRADITIONAL BAKED 1 2 3 4
5 6
1
純正白蓮蓉 Baked White Lotus Paste
2
單黃純蓮蓉 Baked Lotus Paste with Single Yolk
3
單黃金翡翠 Baked Pandan Paste with Single Yolk
4
杏仁紅豆沙 Baked Red Bean Paste with Almond Flake
30
純正白蓮蓉 Baked White Lotus Paste
30
單黃純蓮蓉 Baked Lotus Paste with Single Yolk
Baked Pandan Paste with Single Yolk
QUANTITY
TOTAL (RM)
118
Purchase includes RM100 voucher for dine-in at Chynna
30
單黃金翡翠
PRICE PER PIECE RM
TIFFIN BOX OF 4
Total (RM) :
*RM100 rebate applicable with a minimum spend of RM250 during dine-in at Chynna
30
杏仁紅豆沙 Baked Red Bean Paste with Almond Flake
30
單黃白蓮蓉 Baked White Lotus Paste with Single Yolk
Guest name
Please charge the total amount to my Credit Card details below
Company
Name on Credit Card
32
古法伍豆仁 Traditional-style Baked with Five Nuts
Credit Card Number Visa
Address
MasterCard
AMEX
CCV
Others
SNOW SKIN 7 Signature Mooncake 2016
8 9 10 Top Seller
Fax
中华帝国 Imperial by Chynna - SIGNATURE
Gold-dusted Snow Skin Lotus Paste with Gourmet Valrhona Chocolate and Fig
32
30
喜慶紫花鼓 Flower Drum
30
冰皮貓山王 Heavenly Gold
52
Snow Skin Lotus Paste with Soft Custard Egg Yolk Snow Skin with Pure Premium Musang King Durian
Mobile Email
冰皮藍莓芝士玉環 Blue Moon
Snow Skin Amaretto Lotus Paste with Blueberry Cheese Feuillantine
Expiry Date
Card Holder Signature
Preferred collection date Remarks
Date
For Office Use: Team member Date received
ID no
Please fax your order form to +603 2264 2593 or email it to
[email protected] For further information, please call +603 2264 2466
Delivery destination details must be provided in full. Incomplete or inaccurate information will impede the delivery and may result in additional charges.
Total (RM) :
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