Full Name *

Email Address *

Mobile Number *

Address *

Preferred Outlet * (prize collection)
The WeldThe IntermarkAvenue KParadigm Mall PJThe StarlingSunway Velocity1 Mont KiaraKL Eco City MallSunway PyramidTropicana Gardens MallNu SentralSetia City MallPrima Avenue Cyberjaya

Amount * (equivalent to receipt)

Receipt * (kindly attach your receipt, file must be less than 5MB | allowed file type: PDF & JPEG)

I confirm that the information given is correct and understand that there will be a delay in event of incorrect information entered. I also understand that food items/ingredient will be subject to changes.