Purim 2016 Order Form Code
Description
Size
Price inc GST
Parev Parev
12 pieces 12 pieces
$25.00 $25.00
Parev Parev Parev Parev Parev Parev
12 pieces 250g 250g 250g 250g 250g
$25.00 $25.00 $25.00 $25.00 $25.00 $35.00
Hamentashen P650 P651
Mohn Hamentashen Chocolate Hamentashen
Fantasy Items P652 P653 P654 P655 P656 P657
Macaroons Date Slice Florentines Chocolate Honeycomb Pistachio Almond Nougat Rocky Road
Client Details Name Address Tel
Mobile
Payment Details (Credit Card Fees: VISA/MC 1.5%, AMEX 3.25%) Cardholder Name Card Number Expiry CCV
Delivery - $22.00 Pick up - Alexandria
FAX or EMAIL ORDERS 55 Doody Street Alexandria NSW 2015 Tel 02 8324 4500 Fax 02 8324 4549 orders@amazeintaste.com.au
Order QTY