Pasteles Order Form
Please allow 48 hours for order to be completed.
Full Name
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First Name
Middle Name
Last Name
Contact Number
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E-mail
*
example@example.com
Pick-up Date
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Month
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Day
Year
Date
My Products
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Traditional Jackpork Pasteles
$
22.00
Quantity
1
2
3
4
5
6
7
8
9
10
Option
1/2 dz.
1 dz.
Traditional Chik'n Pastel
$
22.00
Quantity
1
2
3
4
5
6
7
8
9
10
Option
1/2 dz.
1 dz.
Traditional Beefless Pastel
$
22.00
Quantity
1
2
3
4
5
6
7
8
9
10
Option
1/2 dz.
1 dz.
Alcapurria Yuca Dz.
$
38.00
Quantity
1
2
3
4
5
Alcapurria Masa dz
$
38.00
Quantity
1
2
3
4
5
Coquito
$
22.00
Flavor
Traditional
Coffee
Almond
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please allow 48 hours for order to be completed.
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