Summer Cafe - Online Order Form

Student Name:*

First NameLast Name

Payee Email*

Invoice will be sent to this email address

Phone Number*

Homeroom:*

Date to collect order*

Please only order upto one week in advance.

Important Notes:

- Online form not available on Tuesdays

- Orders must be in before 11:30am, at least one day prior to pickup

- Please collect orders from back of Zenith window - VCE VM Café window

Unfortunately, no orders can be taken at this time. Please come to the cafe window at Zenith to place your orders.

Current Date

Date

Current Time

Hour Minutes

AM/PM Option

Cafe Menu*

Bubble Tea - Fruity

$5.00AUD QuantityFlavour TeaFree Popping Pearl
Item subtotal:$0.00AUD

Additional Popping Pearls - For Bubble Tea OnlyNOTE - Popping Pearls are for bubble tea only

$0.50AUD QuantityPopping Pearl Flavour
Item subtotal:$0.00AUD

Bubble Tea - ExtrasAdd extras to your Bubble Tea: Rainbow Jelly

$0.50AUD

Add	Quantity	Price
Rainbow Jelly		$0.50AUD

Item subtotal:$0.00AUD

Frappe

$5.00AUD QuantityFrappe FlavourWhipped Cream
Item subtotal:$0.00AUD

Mochi Ice-creamYou will get 3 flavours: Mango, Chocolate and strawberry.

$5.00AUD Quantity
Item subtotal:$0.00AUD

Total

$0.00AUD

Credit Card

Apple Pay

My order is for (obsolete field):*

TuesdayThursday