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Name:
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Address:
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Contact No:
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Email Address:
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Product Code:
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Occasion (birthday, wedding, etc):
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If for birthday (please provide the name & age of the birthday boy/girl):
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Cake Flavor (vanilla, chocolate, orange, strawberry, etc...):
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Special request (Color, Design,etc..):
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Total Quantity:
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Collection/delivery date & time
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Delivery method:
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Delivery (within Klang Valley)
Pick Up - Point: Miraku Cafe, Restoran Jejantas Sungai Buloh, Selangor
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Payment method:
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AM BANK: MIRA CREATION (0882022005553)
Cash On Delivery
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Latest Order 3 days before delivery
Delivery within Klang Valley
Charge will be RM5
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