Cupid’s Clinic: The sweetest cure is always freshly baked
Pre-Order Form
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Contact Details
Name
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First Name
Last Name
Email
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Batch and Section
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Contact Number
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I give my consent to UERM MedKom to collect and process my personal data, such as my name, contact number, and email. I understand that my personal data will be collected and processed in accordance with the Data Privacy Act of 2012 and its implementing rules and regulations. I also understand that my personal data will be used sole for the processing of orders.
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Order Form
Our Products
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Double Chocolate Brownie (1 pc)
Enter description
120.00
PHP
Quantity
1
2
3
Biscoff Brownie (1 pc)
120.00
PHP
Quantity
1
2
3
Sea Salt Crack Pie (1 pc)
120.00
PHP
Quantity
1
2
3
Lemon Bar (1 pc)
120.00
PHP
Quantity
1
2
3
Apple Parmesan Cornflake Bars (1 tray)
5 x 7 in
450.00
PHP
Quantity
1
2
3
Assorted Box
(Double Chocolate Brownie x2, Biscoff Brownie x2, Sea Salt Crack Pie x2, Lemon Bar x2)
935.00
PHP
Quantity
1
2
3
Ferrero Bouquet (6 pcs)
780.00
PHP
Quantity
1
2
3
Ferrero Bouquet (3 pcs)
420.00
PHP
Quantity
1
2
3
4
5
6
7
8
9
10
Ferrero Bouquet (1 pc)
180.00
PHP
Quantity
1
2
3
4
5
6
7
8
9
10
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Dedication
Who is this order for?
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For me
For my special someone
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Delivery Form
You may choose whether for pick up or delivery.
When do you want to claim your order/s?
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Please Select
February 9, 2026 (Monday)
February 10, 2026 (Tuesday)
Mode of Delivery
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Pick up around UERM
Delivery through Grab or Lalamove within Metro Manila (recipient will pay for the delivery fee)
Address for Delivery
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Payment Form
1. Pay in FULL thru the following: GCASH 2. Upload the Proof of Payment then submit the form.
Proof of Payment
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THANKS FOR ORDERING!
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