You can always press Enter⏎ to continue
JotForm Logo
Now create your own JotForm - It's free!Create your own JotForm
Create your ownJotFormJotForm mascot Podo
DaVinci Gourmet
Language
  • English (US)
  • 1
    Please select a product
    prevnext( X )
                    My Bag
                    0
                    My Bag
                    Great Product Name
                    $20
                    Quantity:1
                    Size:Small
                    RemoveEdit
                    Great Product Name
                    $20
                    Quantity:1
                    Size:Small
                    RemoveEdit
                    Great Product Name
                    $20
                    Quantity:1
                    Size:Small
                    RemoveEdit
                    Great Product Name
                    $20
                    Quantity:1
                    Size:Small
                    RemoveEdit
                    ORDER SUMMARY
                    Total costPHP
                    • text
                      DaVinci Classic Strawberry Syrup (750mL)
                      390.00PHP+Remove
                      Back
                      1
                      • 1
                      • 2
                      • 3
                      • 4
                      • 5
                      Subtotal: 0.00PHP
                    • text
                      DaVinci Mixology Series Fragrant Lychee Syrup (750mL)
                      449.00PHP+Remove
                      Back
                      1
                      • 1
                      • 2
                      • 3
                      • 4
                      • 5
                      Subtotal: 0.00PHP
                    • text
                      DaVinci Chocolate Sauce (2L)
                      700.00PHP+Remove
                      Back
                      1
                      • 1
                      • 2
                      • 3
                      • 4
                      • 5
                      Subtotal: 0.00PHP
                    • text
                      DaVinci Caramel Sauce (2L)
                      720.00PHP+Remove
                      Back
                      1
                      • 1
                      • 2
                      • 3
                      • 4
                      • 5
                      Subtotal: 0.00PHP
                    • text
                      DaVinci Salted Caramel Sauce (2L)
                      720.00PHP+Remove
                      Back
                      1
                      • 1
                      • 2
                      • 3
                      • 4
                      • 5
                      Subtotal: 0.00PHP
                    • text
                      DaVinci Butterscotch Sauce (2L)
                      720.00PHP+Remove
                      Back
                      1
                      • 1
                      • 2
                      • 3
                      • 4
                      • 5
                      Subtotal: 0.00PHP
                    • text
                      DaVinci Matcha Flavor Powder (1kg)
                      899.00PHP+Remove
                      Back
                      1
                      • 1
                      • 2
                      • 3
                      • 4
                      • 5
                      Subtotal: 0.00PHP
                    • text
                      DaVinci Frappease Powder (1.5kg)
                      1,000.00PHP+Remove
                      Back
                      1
                      • 1
                      • 2
                      • 3
                      • 4
                      • 5
                      Subtotal: 0.00PHP
                      Total cost 0.00PHP
                      Press
                      Enter
                    • 2
                      Press
                      Enter
                    • 3
                      Press
                      Enter
                    • 4
                      Press
                      Enter
                    • 5
                      Press
                      Enter
                    • 6
                      Press
                      Enter
                    • 7
                      Please fill-in the following information
                      Press
                      Enter
                    • 8
                      If none, click "Next" to skip
                      Press
                      Enter
                    • 9
                      PRIVACY POLICY: - Blu Coffee Distributors is committed to complying with Republic Act 10173 or the Data Privacy Act of 2012 and its Implementing Rules and Regulations - BY CLICKING THE AGREE BUTTON, I AGREE TO BLU COFFEE's PRIVACY POLICY AND CONSENT TO THE COLLECTION, USE, DISCLOSURE, STORAGE, AND PROCESSING OF MY PERSONAL DATA TERMS: - The online store is available in the Metro Manila area only - Prices are inclusive of taxes (delivery fees not yet included) - Please wait for a confirmation email regarding the product availability -The final payment instructions will be sent once the product availability has been confirmed - Please allow 1-3 business days (Mon-Fri, 8AM-3PM) to process your order. Orders made after 3PM will be processed on the next business day
                      Press
                      Enter
                    • 10
                      Press
                      Enter
                    • 11
                      12
                      • 1
                      • 2
                      • 3
                      • 4
                      • 5
                      • 6
                      • 7
                      • 8
                      • 9
                      • 10
                      • 11
                      • 12
                      38
                      • 00
                      • 01
                      • 02
                      • 03
                      • 04
                      • 05
                      • 06
                      • 07
                      • 08
                      • 09
                      • 10
                      • 11
                      • 12
                      • 13
                      • 14
                      • 15
                      • 16
                      • 17
                      • 18
                      • 19
                      • 20
                      • 21
                      • 22
                      • 23
                      • 24
                      • 25
                      • 26
                      • 27
                      • 28
                      • 29
                      • 30
                      • 31
                      • 32
                      • 33
                      • 34
                      • 35
                      • 36
                      • 37
                      • 38
                      • 39
                      • 40
                      • 41
                      • 42
                      • 43
                      • 44
                      • 45
                      • 46
                      • 47
                      • 48
                      • 49
                      • 50
                      • 51
                      • 52
                      • 53
                      • 54
                      • 55
                      • 56
                      • 57
                      • 58
                      • 59
                      PM
                      • AM
                      • PM
                      Press
                      Enter
                    • 12
                      Press
                      Enter
                    • Should be Empty:
                    Blu Coffee Distributors Order Form
                    [Edit]
                    Question Label
                    1 of 12See AllGo Back
                    close
                    Save & Continue Later

                    Your form is saved successfully!

                    If you want to continue answering your form later, please enter the email address you would like to send the link to:

                    Please enter a valid email address.

                    Something went wrong while saving your answers. Please try again.

                    Email has been sent successfully.

                    Save your progress

                    OR
                    Already have an account? LOGIN
                    Skip Create an Account

                    Save your progress

                    Terms of ServicePrivacy Policy

                    Your form submission has been saved as a draft.

                    If you want to continue answering your form later, please enter the email address you would like to send the link to:

                    Save your progress

                    OR
                    Forgot Password?

                    Your form submission has been saved as a draft.

                    We’ve sent you an email with a link to complete your submission.

                    Logout