Cake Order Form – Miku Restaurant Vancouver

Cake orders are to be sent in at least 24 hours before the reservation date unless otherwise approved by a manager. Please call the restaurant to speak with a manager personally if there are last minute changes to the order, or if it is within 24 hours.
Any cancellations within the 24 hour period will incur a 50% cancellation fee, which will be processed with the credit card provided below.

Green Tea Opera Cake Dimensions: 7″ x 7″ ($70) (GST/HST not included)

*Required

**Your order is not yet complete. Please review your information before clicking submit.**

Order Request

Name* :

Phone Number* : - -

Email* :

Occasion* :

Cake Inscription Details :

Location* :Miku Vancouver

Order Option* :Pick UpDine In

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Pick Up

Pick Up Date* :

Pick Up Time* :11:30am11:45am12:00pm12:15pm12:30pm12:45pm01:00pm01:15pm01:30pm01:45pm02:00pm02:15pm02:30pm02:45pm03:00pm03:15pm03:30pm03:45pm04:00pm04:15pm04:30pm04:45pm05:00pm05:15pm05:30pm05:45pm06:00pm06:15pm06:30pm06:45pm07:00pm07:15pm07:30pm07:45pm08:00pm08:15pm08:30pm08:45pm09:00pm09:15pm09:30pm09:45pm10:00pm

How would you like
to pay?* :Pay OnlinePay upon pick up

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Dine In

This is for existing reservations. Please make a reservation prior to ordering the cake.​

Reservation Date* :

Reservation Time* :11:30am11:45am12:00pm12:15pm12:30pm12:45pm01:00pm01:15pm01:30pm01:45pm02:00pm02:15pm02:30pm02:45pm03:00pm03:15pm03:30pm03:45pm04:00pm04:15pm04:30pm04:45pm05:00pm05:15pm05:30pm05:45pm06:00pm06:15pm06:30pm06:45pm07:00pm07:15pm07:30pm07:45pm08:00pm08:15pm08:30pm08:45pm09:00pm09:15pm09:30pm09:45pm10:00pm10:30pm

Reservation Name
(if different from above) :

Surprise* :YesNo

Candle(s) Required* :YesNo

How would you like
to pay?* :Pay OnlinePay at the restaurant

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Credit Card Information

A signature below indicates that you have read and agreed to the terms and conditions of this document as outlined above. Final billing will be made on the day and payment will not be processed in advance unless a cancellation occurs.

VISA Master American Express Discover JCB

Card Number* : - - -

Expiry Date* :Month: 　/　Year:

Cardholder's Name* :

CVV / Security Code* :What is CVV?

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Billing Address

Billing Address 1* :

Billing Address 2 :

City* :

State/Province/Region* :

Postal Code* :

Country* :AfghanistanAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBrazil DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongoCook IslandsCosta RicaCote d’IvoireCroatiaCubaCyprusCzech RepublicKoreaDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaEuropean CommunityFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaoLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNiueNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRepublic of KosovoRepublic of MoldovaRomaniaRussian FederationRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoTome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyrian Arab RepublicTajikistanThailandThe former Yugoslav Republic of MacedoniaThe former The former-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited Republic of TanzaniaUnited States of AmericaUruguayUzbekistanVanuatuVenezuelaViet NamYemenZambiaZimbabwe

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Total :$70.0

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Additional comments/instructions for the restaurant regarding your order:

By clicking this box you have read and agreed to our Privacy Policy and Terms and Conditions as well as to confirm the information you have provided is correct. Final billing will be made on the day and payment will not be processed in advance unless a cancellation occurs.
→Privacy Policy
→Terms and Conditions

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Please only click the submit button once and do not click the back button or refresh the page until the order confirmation page appears.