Misaki Restaurant Self-Collection Order Form
This form is for Self-Collection orders only. If you want to order delivery instead, please use this link: https://forms.gle/6XHjRg4ke6Yeq1yS9

After you fill out this order request, we will contact you to go over details and availability before the order is completed.

Take note that we will not be able to service requests that are too close to delivery time (e.g. within 3 hours)

Orders are taken while stocks last. Apologies if we are unable to service your request.

If you require assistance please call +65 6443 1187.
What is your name? *
Phone number *
Date of Pick-Up *
MM
/
DD
/
YYYY
Timing of Pick-Up *
Pick-Up Point for Takeaway *
Vehicle License Plate Number (if applicable, for '''drive-through'' takeaway order)
What items would you like to order? Take note that Bento Sets come with rice and soup. *
Required
Please specify how many of each item you want to order. *
Kindly acknowledge the following regarding payment: Payment only by Cash or PayNow - we will contact you with further details regarding payment. *
Would you like Misaki Japanese Restaurant to send you phone notifications regarding our latest promotions/offers? *
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