Fresh Lettuce Order Form

Yayasan Sunbeams Home

No. 57 & 59, Jalan Bunga Melur 11a, Taman Mawar, 56100 Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur

RM10 per lettuce + RM5 delivery (within Klang Valley)

Name: Phone Number: Address: Quantity of Lettuce: Collection Method:

Self Pickup Delivery

Scan QR to Pay

OR Bank Transfer to:

Yayasan Sunbeams Home

Alliance Bank: 620290010001813

⚠️ Please calculate the amount manually (RM10 x quantity + RM5 if delivery). Upload the receipt below.

Upload Payment Receipt: Submit Order

If you encounter any issues, please contact Alison at +60 12-608 9216