Perk Up Coffee & Tea Order Form

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Perk Up Coffee & Tea Order Form

Hey brew-tiful! Kindly fill out this form to place an order. Please make sure that all details are correct. We will send you a confirmation via Instagram DM. Cheers! ☕️

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* Indicates required question

Name *

Your answer

Instagram Username *

Your answer

Delivery Address/ Grab pin: *

Your answer

Contact number *

Your answer

Order/ Quantity *

Your answer

Mode of Payment *

GCash

UnionBank

Maya

Pick Up Date (One day lead time for all orders | Cut off is 8pm daily) *

Your answer

Preferred Pick-Up Time *

Morning : 9am - 11am

Lunch : 12nn - 2pm

Afternoon: 3pm - 5pm

Promo Code

Your answer

Submit

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