Tuesday, December 1, 2009

Order Form

315 W. 3rd St. #201

Long Beach, CA 90802

Tel: 323-397-9483































Cassava Bibinka 


Fresh Lumpia



Food for the Gods


Traditional (T) or Custard (C) topping    1 dozen  --  $35  (FL-1)
   1 dozen  --  $25  (FG-1)

   Large  --  $40  (CB-L)
   2 dozen  --  $65  (FL-2)    2 dozen  --  $45  (FG-2)
   Small  --  $30  (CB-S)
   3 dozen  --  $95  (FL-3)
   3 dozen  --  $65  (FG-3)

   Mini    --  $20  (CB-M)

   4 dozen  --  $120 (FL-4)

   4 dozen  --  $85  (FG-4)

Item # (description)T/CQtySub-total ($)

































Name: _____________________________________ 

Telephone: _________________________________

Address: ____________________________________
    
City & Zip: __________________________________  

Email: _____________________________________

__ Delivery address is same as above
__ Please deliver to the following address:
    
    Address: _________________________________
    
    City & Zip: ________________________________

    Telephone: ________________________________

Date of delivery/pick-up:

______________________________________
                Total: $ ____________________
                Delivery Fee
                $10 per 25 mile
                     radius of 90802 _________________________
   
    GRAND TOTAL: $ _____________________
               50% Deposit Required
                Amount Received:$______________________

    BALANCE DUE: $ ___________________

            Please make checks payable to:
            Desiree Ocampo 


All orders require three (3) days advance notice. 
Delivery may not be available at all areas.
Cancellation requires a 48-hour notice and is subject to 25% restocking fee.
Full payment is required upon delivery.

Time of delivery/pick-up:
(Between 9am and 6pm, weekends only)

__________________________________________________
Special arrangements available for weekday pick-up or delivery.