EmailMe Form - TASTE BUDS - LICIOUS ORDER FORM

Name *
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Phone Number *
### - ### - ####
Email *
Order Here & Please Specify
*Final price will be emailed to you once you have confirmed your order, include my account number
*Once confirmed, kindly bank-in 50% or full payment of the final price into my account
Delivered By:
MM / DD / YYYY HH : MM AM/PM
Delivery Method
Self Pick-up
Pos Laju
Home Delivery
*Pick-up location is at address stated above
* Delivery services is available for Johor,Melaka & Klang Valley (Only for cakes & pastry)
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