JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
小潘鳳梨酥7/23代購表單
面交地點:桃園永順國小門口
地址:
桃園市桃園區永順街100號
時間:7/23週六下午6點
一律先匯款!!現場不收錢
確認收到款項才會代買
送出表單前請確認是否填寫正確
**匯款帳號**
國泰世華 013
帳號 248506106372
Sign in to Google
to save your progress.
Learn more
* Indicates required question
鳯梨酥裸裝(有蛋)
常溫保存 2星期
15顆 $315
20顆 $410
30顆 $600
鳯梨酥裸裝
(無蛋)
常溫保存 2星期
15顆 $300
20顆 $390
鳯梨酥包裝
(有蛋)
常溫保存 4星期
10顆 $260
12顆 $305
18顆 $445
鳯梨酥包裝
(無蛋)
常溫保存 4星期
10顆 $250
12顆 $295
18顆 $425
取貨姓名&聯絡電話
*
Your answer
轉帳後五碼(請填寫正確不然會無法核對)
*
Your answer
是否能再7/23當日取貨
*
是
否
其它
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms