Lowercase Cafe Order Form

Cafe Order Form
Name
First NameLast Name
Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Delivery/Self Collect Date
MonthDayYear
Date
Delivery/self collect Time
Hour Minutes
AM/PM Option
Type of Order
Iberico Pork Special
A1 Iberico Bbq Ribs $28.8
A2 Iberico Pork Burger $13.8
A3 Iberico Pasta $13.8
5 Inch Burger
B1 73 Burger $17.8
B2 Naked Avocado Burger $15.8
B3 SomuCheese Burger $13.8
Salted Egg Chicken Burger $13.8
B5 Mushroom Beef Burger $12.8
B6 Classic Beef Burger $9.8
B7 Teriyaki Chicken Burger $8.8
B8 Aioli Fish Burger $8.8
Fish & Meat
C1 Pork Neck Steak $14.8
C2 Chicken & Waffles $15.8
C3 Wild Mushroom Chicken $9.8
C4 Black Pepper Chicken $9.8
C5 Classic Fish & Chips $9.8
Pasta
D1 Salted Egg Chicken $13.8
D2 Truffle Shiitake $11.8
D3 Chicken Aglio-Olio $11.8
D4 King Mushroom Aglio-olio $11.8
D5 Pomodoro Chicken $10.8
Regular Sides/Starters
Cajun Fries $4.8
Cheese Fries $8.8
Truffle Fries $9.8
American Style Eagle Wings $8.8
King Brown Mushroom $9.8
Truffle Mash Potato $7.8
Classic House Coleslaw $5.8
Cold Italian Fusilli $8.8
Fish Bites $7.8
Chicken Bites $7.8
Dessert / Drinks
Brownie or Tiramisu x1 $5.8
Brownie or Tiramisu x2 $9.8
Brownie or Tiramisu x4 16.8
Ice lemon tea or Citrus Spritzer x1 $3.8
Ice Lemon tea or Citrus Spritzer x2 $5.8
Ice Lemon tea or Citrus Spritzer x4 $9.8

Family Portions
73 Iberico BBQ Ribs - Half Rack(1.2kg) $48
73 Iberico BBQ Ribs - Full Rack(2.4kg) $88
Select 4 or 6
Other
Select 3 Sides for family Meals
Other
73 Family Platter $88
Consist of:
1. Half Rack Iberico Ribs (1.2kg)
2. Double Pork Neck Steak
3. King Brown Mushroom (Medium)
4. Iberico Butter Carrot Rice
5. American Style Eagle Wings (6pcs)
6. Classic House Coleslaw
7. Cold Italian Fusilli
73 Familiy Platter $88
1 Family Platter = $5 voucher will be given to old folks at Selegie Residence
1 For 1 truffle Fries $9.8
Should be Empty:

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