PATUTS ORDER FORM
You may view our complete menu on our Website: https://patutsclassicfried.wixsite.com/fooddelivery
Full Name
*
First Name
Last Name
E-mail
example@example.com
Contact Number
*
-
Area Code
Phone Number
Shipping Adress
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Patuts Padala (Send as a gift?)
Yes
No
Gift Message (Optional)
Special Instructions
Indicate the nearest landmark or any helpful information for the driver.
My Products
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( X )
Patuts Classic Fried Chicken
345.00 PHP
345.00
PHP
Quantity
1
2
3
4
5
6
7
8
9
10
Crispy Pata
420.00 PHP
420.00
PHP
Quantity
1
2
3
4
5
6
7
8
9
10
Pork Dinuguan
175.00 PHP
175.00
PHP
Quantity
1
2
3
4
5
6
7
8
9
10
Pork BBQ
240.00 PHP
240.00
PHP
Set of 6 (110 grams per piece)
Quantity
1
2
3
4
5
6
7
8
9
10
Laing na Hipon
235.00 PHP
235.00
PHP
Quantity
1
2
3
4
5
6
7
8
9
10
Beef Kare-Kare
220.00 PHP
220.00
PHP
Good for 2 PAX
Quantity
1
2
3
4
5
6
7
8
9
10
Pork Belly with Aligue Rice
880.00 PHP
880.00
PHP
Good for 4 PAX
Quantity
1
2
3
4
5
6
7
8
9
10
Arroz Valenciana
185.00 PHP
185.00
PHP
Quantity
1
2
3
4
5
6
7
8
9
10
Lumpia Macau Rolls
175.00 PHP
175.00
PHP
12 pieces
Quantity
1
2
3
4
5
6
7
8
9
10
Total
0.00 PHP
0.00
PHP
Preferred Date of Delivery
*
-
Month
-
Day
Year
Date
Time of Delivery
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Mode of Payment
*
BDO
BPI
PAYMAYA
GCASH
CASH ON DELIVERY (LALAMOVE)
Submit Order
Should be Empty: