預約試吃 - 送餐到府 ($20) 限大洛杉磯地區, 有範圍限制

預約試吃 - 送餐到府 Fresh Postpartum Meal Sampling Home Delivery
預約試吃 Postpartum Meal*	$20 - 送餐到府試吃限大洛杉磯地區有範圍限制/Postpartum Meal Sampling Los Angeles Home Delivery - $20
姓名 Full Name*
試吃申請人 Name of the person submit this request*
連絡電話 Contact Phone*
您的E-Mail Your Email*
住址 Street Address*
城市: City*
州名: State*
郵遞區號: Zip*
預產期: ( MM/DD/YYYY ) Expected Due Date*
欲選購的餐點 I am interested in*	預約試吃 - 送餐到府月子餐
是否已有聯絡人? Have you reached out to anyone at our business?*	None Patricia Miya Nicole
請給我2個妳希望試吃月子餐的日期，餐點需要有人在家接餐。通常中午前就送到您的地址，請您放一張椅子在門口 (這樣餐點才不用放在地上)。由於疫情我們儘量減少司機跟客人的接觸，所以司機會將餐點放在門口的椅子上/ 按門鈴後離去，謝謝。Please give me two dates when you would like to try the postpartum meal. Someone needs to be at home to receive the meal. It is usually delivered to your address before noon. Please place a chair at the door (so that the meal doesn't have to be placed on the ground).
希望送餐日期 1 Expected Food Delivery Date 1
希望送餐日期 2 Expected Food Delivery Date 2
緊急聯絡人電話 Emergency Contact Phone*
緊急聯絡人姓名 Emergency Contact Person*
怎麼知道我們的? How did you know us?*	親友介紹 網路搜尋 臉書 小紅書 微信 其他
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