ORDER FORM
WELCOME TO SRI SELASIH RESTAURANT
PLEASE FILL ALL THE QUESTION TO MAKE YOUR ORDER AND MAKE SURE ALL THE INFORMATION ARE TRUE
Sign in to Google to save your progress. Learn more
FULL NAME *
RAMLAH BINTI RAMLI
ADDRESS *
PHONE NO *
TYPES OF PACKAGE
CATEGORY PACKAGE (MAIN PACKAGE)
A
B
C
BREAKFAST
LUNCH
HI-TEA
DINNER
Clear selection
 EXTRA PACKAGE
CATEGORY FOR EXTRA PACKAGE
FOR WEEDING AND BIRTHDAY PACKAGE
GOODIES BAG PACKAGE
QUANTITY FOR THE ORDER
FOR MAIN PACKAGE
PAYMENT METHOD *
Required
PROOF OF PAYMENT ( GIVE DATE / TIME / AMOUNT ) *
FAILED TO PROOF CONSIDERED BACKOUT BUYER (TOTAL AMOUNT BANK IN Please attach any payment proof and send to anitasalleh641@gmail.com. Any balance please do inform and attach your Account Maybank or CIMB)
FOR WEEDING, BIRTHDAY AND GOODIES BAG PACKAGE
FOR MAKE THE CONFIRMATION CUSTOMER NEED TO CALL OR MEET THE OWNER IT IS TO AVOID THE MISUNDERSTANDING  
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report