Sunday, June 13, 2010

Order Form






















































Name:
Email Address:
Phone Number
Delivery Method

Collection Date
(Leave blank if you prefer to receive your edible image by post)
Select Date

Pickup Location
(Leave blank if you prefer to receive your edible image by post)
Delivery Address
Expected Date to Post
(Leave blank if you prefer to self-pickup your edible image at our pickup location)
Select Date
Image request Cik Ayu's Gallery
Your Own Image
(please email your image to
ayuedibleimage@gmail.com)

Order Description (e.g.
Ordering Template: OT08;
Image Code: BE01;
Quantity:1)