Order Form

Name:
Email Address:
Phone Number
Pick-up Date
Pick-up Point	Equine Park Ukay Perdana Tesco Ampang Tesco Kepong Self Pick-up
Pick-up Time
Type of Order	(a) Tartlet (b) Cake
(a) Tartlet - Fillings	Blueberry Cheese Lemon Fruit
(a) Tartlet - Quantity (min order = 25pcs)
(b) Cake	Durian Cheesecake (seasonal) Lemon Cheesecake Classic Cheesecake Rich Chocolate Cake Raspberry Cheese Brownies
Special instructions / Suggestions /Comments:

Put a website form like this on your site.