mooncake order form final print no trim

Order Form
Kindly submit your order via email to [email protected]
Orders are confirmed after verification of details via phone.
Unit Price (S$)
1. Creative Fusion (Box of 4)
48.80/box
2. Baked Traditions (Box of 4)
48.80/box
3. Traditional Lotus Box (Box of 4)
48.80/box
4. Bamboo Charcoal
12.50/pc
5. Pure White Wolfberry &
Red Dates Lotus (Single Yolk)
12.50/pc
6. White Lotus Single Yolk
12.50/pc
7. Chocolate Cranberry Custard
12.50/pc
8. Green Tea Mochi
12.50/pc
9. Mocha Rocher
12.50/pc
Quantity
Amount (S$)
Bamboo Charcoal, Pure White Wolfberry & Red Dates
Lotus (Single Yolk) - 2 of each flavour
White Lotus Single Yolk, Chocolate Cranberry Custard,
Green Tea Mochi, Mocha Rocher
White Lotus Single Yolk
$24.80 (Box of 2)
$48.80 (Box of 4)
Mix & Match (Create your own box of 2 or 4)
Select your flavours from items 4-9
Sub-total
Please tick one (if applicable):
Early Bird Special (till 28 August 2016)
Citibank Credit Card
SAFRA Card
OCBC Credit Card
LESS 15% Discount
Add 7% GST
Total
Above prices are subject to prevailing goverment taxes.
Note:
1) For delivery, there will be a $15 charge per location.
*Extra $10 delivery charge per trip to Tuas, Sentosa, Marina Bay Sands, or Jurong Island.
* Extra $15 delivery charge per trip between 8-22 September.
2) Order must be placed 3 working days in advance.
3) Not valid with other credit card offers, vouchers, or promotions.
4) Not valid for earning and redemption of JPP$ for JP Pepperdine Rewards cardmembers
5) Only VISA or MASTERCARD payment is accepted for all orders.
6) Payment must be made in full upon ordering. For Citibank or OCBC promotion, order is to be paid using the respective Credit Card.
Orders must be faxed at least 3 days before date of collection.
First collection date: 3 August 2016 | Last collection date: 15 September 2016
For corporate enquiries, please contact us at 6287 6298, or email to [email protected]
Name (Mr / Ms / Mdm / Dr)
Address
Postal Code
Email
Tel / Mobile
Your order will be confirmed by phone
PAYMENT:
VISA
MASTERCARD
Expiry Date:
-
-
M M / Y Y Y Y
Cardholder’s Name:
Date of Order
Signature / Date
Please state your preference by ticking ONE of the following options:
Collection at any JP Pepperdine Group of Restaurants (Please indicate outlet):
Date:
11am - 1pm
2.30pm - 5pm
5pm - 9.30pm
11am - 1pm
2.30pm - 5pm
5pm - 8pm
Delivery address*:
Date:
* Delivery charge of $15 per location applies
by Halal Manufacturer