Brunch Order Form

Name*
Phone Number*
Please enter your phone number.
Date*

MonthDayYear
Date
VEG/NON-VEG*
Idli, Pongal, Vada Combo
Idly - 3 Nos, Vada, Pongal, Sambar, Chutney
Kal Dosa, Pongal, Vada Combo
Onion Uthapam - 2 Nos, Vada, Pongal, Sambar, Chutney
Idiyappam Veg Paya
Idiyappam - 3 Nos, Veg Paya, Kitchadi, Bonda
Idiyappam Mutton Paya
Idiyappam - 3 Nos, Goat Paya, Kitchadi, Bonda
Poori, Aloo, Jeera Rice
Poori - 2 Nos, Aloo Masala, Jeera Rice,
Delivery Address (BOTHELL&MILLCREEK ONLY)*

Street Address

Street Address Line 2

City (BOTHELL & MILLCREEK ONLY)State / Province

Postal / Zip Code

My Products*

Brunch Combo

$20.00 Quantity
Item subtotal:$0.00

Total

$0.00