Fuwa Bites Order Form

1

Select your desired flavor here.

2

Name* This field is required.

First Name

Last Name

3

Order* This field is required.Indicate the flavor/s you would like to delight. Kindly also indicate the quantity.

Flavors: Ubeybebeybe (Ube), Yemasarap (Yema), Bananamon (Banana Cinnamon)

4

Address* This field is required.Where are we going to deliver your order? Indicate your grade level and section/room number/work area

5

Contact Details* This field is required.For more details, where can we contact you? Indicate your cellphone number/ Facebook or Messenger Account.