Polly's Cafe
ORDER FORM
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Address
House No. & Street Address
Street Name
City
State / Province
Postal / Zip Code
Payment Method
*
Please Select
Cash
GCash
GCash no. - 09669509027
Pick-up or Delivery?
*
Pick-up
Delivery
Pickup/Delivery Date
*
.
Month
.
Day
Year
Date
Pick-up / Delivery Time
*
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Menu
*
Categories:
All
All
Hot Drinks
Iced Drinks
Frappe
Sort By
Name: A to Z
Name: Z to A
Price: Low to High
Price: High to Low
Clear Sort
prev
next
( X )
Hot Drinks
Hot Americano
70 PHP
70
PHP
size
8oz
12oz
Quantity
Hot Vanilla Latte
85 PHP
85
PHP
size
8oz
12oz
Quantity
Hot Spanish Latte
80 PHP
80
PHP
size
8oz
12oz
Quantity
Hot Cappuccino
80 PHP
80
PHP
size
8oz
12oz
Quantity
Hot Caramel Macchiato
85 PHP
85
PHP
size
8oz
12oz
Quantity
Hot Cafe Latte
80 PHP
80
PHP
size
8oz
12oz
Quantity
Hot Chocolate Latte
80 PHP
80
PHP
size
8oz
12oz
Quantity
Hot Mocha
80 PHP
80
PHP
size
8oz
12oz
Quantity
Iced Drinks
Iced Americano
70 PHP
70
PHP
size
12oz
16oz
22oz
Quantity
Iced Cafe Latte
80 PHP
80
PHP
size
12oz
16oz
22oz
Quantity
Iced Vanilla Latte
90 PHP
90
PHP
size
16oz
Quantity
Iced Spanish Latte
90 PHP
90
PHP
size
16oz
22oz
Quantity
Iced Cappuccino
80 PHP
80
PHP
size
12oz
16oz
22oz
Quantity
Iced Mocha
90 PHP
90
PHP
size
12oz
16oz
22oz
Quantity
Iced Caramel Macchiato
90 PHP
90
PHP
size
12oz
16oz
22oz
Quantity
Iced Chocolate Latte
80 PHP
80
PHP
size
12oz
16oz
22oz
Quantity
Iced Brown Sugar Latte
90 PHP
90
PHP
size
16oz
22oz
Quantity
Frappe
Americano Frappe
85 PHP
85
PHP
size
16oz
Quantity
Caffe Latte Frappe
100 PHP
100
PHP
size
16oz
Quantity
Cappuccino Frappe
100 PHP
100
PHP
size
16oz
Quantity
Caramel Macchiato Frappe
100 PHP
100
PHP
size
16oz
Quantity
Mocha Frappe
100 PHP
100
PHP
size
16oz
Quantity
Chocolate Caramel Frappe
100 PHP
100
PHP
size
16oz
22oz
Quantity
Java Chip Frappe
110 PHP
110
PHP
size
16oz
Quantity
Oreo Espresso Frappe
100 PHP
100
PHP
size
12oz
16oz
22oz
Quantity
Double Chocolate Cream Chip Frappe
100 PHP
100
PHP
size
16oz
Quantity
Cookies & Cream Frappe
100 PHP
100
PHP
Size
12oz
16oz
22oz
Quantity
Would you like to write a message? If yes, please enter the message below:
Do you have any additional information or instructions?
Submit
Should be Empty: