廣和（多倫多）月子餐訂購表 Cowa Postpartum Meal Order Form

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www.cowa-canada.com 1-855-382-0837

Email *

正宗台灣三十年廣和月子餐 TAIWAN COWA POSTPARTUM MEAL SERVICE

姓名 Legal Name *

簡稱/英文名字 Nick name *

電話 Phone *

郵箱 Email Address *

家庭住址 Home Address *

緊急聯係人+電話 Emergency Contact

醫院 Hospital *

胎次 Parity *

懷孕週數 Weeks of pregnancy *

請問您的分娩方式 Childbirth Delivery Methods *

一般在加拿大OB會以順產為首選，但不排除剖腹產的可能，最終會在生產后與您確認，再調整餐點的飲食

自然生產 Natural Unassisted Childbirth

剖腹 Delivery by Cesarean Surgery (C-section)

Other:

預產期 Due Date *

YYYY

其他孕期狀況 Other Pregnancy Conditions *

飲食選擇 Food Choice *

純素飲食 Vegetarian diet

正常葷素飲食 Normal diet

Other:

食物過敏原 Allergens *

任何過敏源都要寫哦！

飲食禁忌 Types of food you can't eat

任何不吃的食物都可以填寫，在餐點中將會剔除您不吃的食物

月子餐選項 Postpartum Meal Options

付款方式：訂購時可一次付清/預先支付50%的定金，產後低8日支付尾款。無論使用任何支付方式，均需要支付當地HST。Payment Methods:50% Deposit when you order, 50% Balance after your baby born

廣和【A級尊榮】月子餐( 28 Days Postpartum meal Service) * * * CAD$4,180+HST

廣和【A級尊榮】月子餐( 21 Days Postpartum meal Service) * * * CAD$3,218+HST

廣和【A級尊榮】月子餐( 14 Days Postpartum meal Service) * * * CAD$2,212+HST

廣和【Best尊榮】月子餐( 28 Days Postpartum meal Service) * * * CAD$3,680+HST

廣和【Best尊榮】月子餐( 21 Days Postpartum meal Service) * * * CAD$2,830+HST

廣和【Best尊榮】月子餐( 14 Days Postpartum meal Service) * * * CAD$1,932+HST

廣和【Care】月子餐( 28 Days Postpartum meal Service) * * * CAD$2,760+HST

廣和【Care】月子餐( 21 Days Postpartum meal Service) * * * CAD$2,152+HST

廣和【Care】月子餐( 14 Days Postpartum meal Service) * * * CAD$1,490+HST

【櫻花套餐】小月子A餐( 28 Days Postpartum meal Service) * * * CAD$4,180+HST

【櫻花套餐】小月子A餐( 21 Days Postpartum meal Service) * * * CAD$3,218+HST

【櫻花套餐】小月子A餐( 14 Days Postpartum meal Service) * * * CAD$2,212+HST

【櫻花套餐】小月子B餐( 28 Days Postpartum meal Service) * * * CAD$3,680+HST

【櫻花套餐】小月子B餐( 21 Days Postpartum meal Service) * * * CAD$2,830+HST

【櫻花套餐】小月子B餐( 14 Days Postpartum meal Service) * * * CAD$1,932+HST

【櫻花套餐】小月子C餐( 28 Days Postpartum meal Service) * * * CAD$2,760+HST

【櫻花套餐】小月子C餐( 21 Days Postpartum meal Service) * * * CAD$2,152+HST

【櫻花套餐】小月子C餐( 14 Days Postpartum meal Service) * * * CAD$1,490+HST

Other:

Clear selection

營養餐選項 Nutritional Meal Options

營養術後套餐 (28 Days) * * * CAD$2240+HST

營養術後套餐 (21 Days) * * * CAD$1722+HST

營養術後套餐 (14 Days) * * * CAD$1176+HST

Clear selection

運費 Delivery Fee

宅配運費：距離廣和（6545 Hwy7 E, Markham），每公里 $1.00 的運費；如需送到公寓或醫院房間，需有免費停車，若無免費停車，客人需要自行下來取餐。若產生停車場費用，將會以票據的數額收取費用。運費將會每星期結算一次。Delivery fee: For addresses from Cowa (6545 Hwy7 E, Markham), the delivery fee is $1.00 per km. For deliver to the condo or hospital, if there is no free parking space, customers must go down and pick up by themself. Parking fees will be charged if incurred at the hospital or Condo. Delivery fee will be calculated and charged once per week.

支付方式 Payment *

Email Transfer (EMT TO:cowa.kit@gmail.com)

支票 Check(Title: Cowa Ontario Inc.）

現金 Cash

Other:

條款及細則