Name *

First Name

Last Name

Phone *

(###)

###

####

How would you like your drinks? *

Pre-packaged

1/2 gallons

Freshly served

Please select any toppings *

Boba

Mini Boba

Crystal Boba

Pudding

Aloe Vera

Red Bean

Herb Jelly

Aiyu Jelly

Lychee Jelly

No toppings

Date of the Event *

MM

DD

YYYY

Event Location (if drop off/full service)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Type of Event? *

Baby Shower

Birthday

Conference

Meeting

Wedding

Other