FAX ORDER FORM
PHONE: 842-8989 FAX: 842-9121
FROM: ________________________________
( Please print )
PHONE:________________________________
CONTACT PERSON:__________________________
TIME TO PICK UP:___________________________________
DATE:__________________________
( Please give us at least 30 minutes to get ready for pick up . Large quantity may require more time to prepare )
( Phone required in case we need to reach you regarding your order )
Quantity
Lunch
Dinner
Item Description
Specify
Type Rice
Type Soup
(please check one)
PO#______________________________________ Signature _____________________________________________
IF PAYING BY CREDIT CARD PLEASE COMPLETE THE FOLLOWING:
Card Number: ____.____.____.____. ____.____.____.____. ____.____.____.____. ____.____.____.____
Billing Zip: ____.____.____.____.____
VCD Number:____.____.____.____
Exp.Date: ____.____ ( Month )____.____.____.____ ( Year )
Cardholder’s Name( please print )_____________________________________
Cardholder’s Signature ____________________________________________
Kingchefindy.com
E-MAIL:____________________________________
(e-mails notification about special offers and promotions)
