Roulade Order Form
Please place your order 2 days in advance. After you fill in this order request, our sales consultant will contact you on the next working day to finalize the details of your order. Orders placed on Saturday/Sunday, the earliest delivery/collection day will be on Tuesday. For any urgent order, please contact us at 6852 2852 / 9673 5188.
* Required
Delivery Charges
Delivery Fee @ $5.00 nett per location (min 2 rolls to deliver). Self-Collection is available at FoodXchange with no minimum purchase. Delivery waiver for purchase of min. 5 rolls. All prices quoted are nett including gst.
I would like to order:
For order above 6 rolls please state the quantity at Others Column
1 roll
2 rolls
3 rolls
4 rolls
5 rolls
6 rolls
[NEW FLAVOUR] Black Goma
Old School Nut Crunch
Cookies N Oozing Creme
Ondeh-Ondeh
Lychee Rose
Banana Boat
Dirty Milo Dino
1 roll
2 rolls
3 rolls
4 rolls
5 rolls
6 rolls
[NEW FLAVOUR] Black Goma
Old School Nut Crunch
Cookies N Oozing Creme
Ondeh-Ondeh
Lychee Rose
Banana Boat
Dirty Milo Dino
Clear selection
Others
For order above 6 rolls, please state the quantity here
Your answer
Name
*
Your answer
Contact Number
*
Your answer
Email Address
*
Your answer
Delivery / Self-Collection
*
Choose
Delivery (1pm -3pm OR 3.30pm to 7.30pm)
Self-Collection (Fixed Timing 9am to 4pm)
Delivery / Collection Date
*
Delivery Fee @ $5.00 nett per location (min 2 rolls to deliver). Self-Collection is available at FoodXchange with no minimum purchase. Delivery waiver for purchase of min. 5 rolls. All prices quoted are nett including gst.
MM
/
DD
/
YYYY
Delivery / Self-Collection Time
*
Choose
Delivery (1pm - 3pm)
Delivery (3.30pm - 7.30pm)
Self-Collection (9am - 4pm)
Billing Address
*
Your answer
Delivery Address
*
Put NIL for Self-Collection
Your answer
I would like to add on:
Gift Box Set ($9/each) - can fit up to 3 rolls
Personalised Message Card ($3/pc)
Group Printing Message Card ($2/pc) - Min.10pcs for same message
Promo Code (if any)
Your answer
How do you get to know us?
*
Choose
Friends or Family
Search Engine (etc Google, Yahoo)
Social Media (etc Facebook / Instagram)
Website
Others
Remarks
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms