BOOKING FORM EID UL ADHA 2023 Please enable JavaScript in your browser to complete this form.NEW OR EXISTING CUSTOMER *NEWEXISTINGNAME *FirstLastPROVIDE THE NAME OF THE PERSON WHO WILL DO PAYMENT. IN CASE YOU ARE PAYING FOR SOMEONE ELSE, ADD THE NAME OF THE ONE FOR WHICH THE UDHIYAH/QURBANI IS BEING PERFORMED IN REMARKS.ADDRESS *PROVIDE YOUR FULL ADDRESSREGION *CHOOSE REGIONPort LouisPamplemoussesRivière du RempartFlacqGrand PortSavannePlaines WilhemsMokaBlack River (Rivière Noire)MOBILE NUMBER *IS THIS A WHATSAPP NUMBER *YESNOHOME NUMBER *EMAIL ADDRESS *SHARE VALUE *15,50016,50017,500NOTENOTENOTEMODE OF PAYMENT *BANK TRANSFER / MCB JUICEONLINE WEBSITE (VISA / MASTERCARD)CASH PAYMENTWILL YOU COME TO WITNESS YOUR UDHIYAH? *YESNOHOW MANY PEOPLE WILL ATTEND? *(0 IF NONE)OPTIONS - MEAT SHARES *A - TAKE ALLB - DONATE 1/3C - DONATE 2/3D - DONATE ALLCHOOSE IF YOU WANT US TO DISTRIBUTE PART OR YOUR WHOLE SHARE TO THE NEEDYWILL YOU PICK-UP YOUR SHARE, OPT FOR HOME DELIVERY OR SHOULD WE STORE YOUR SHARE? *PICK-UPDELIVERYSTORAGEDELIVERY ADDRESS AND LOCATION PIN IF POSSIBLE *WHEN WILL YOU COLLECT YOUR SHARE? *ChooseSATURDAY 8TH JULYSATURDAY 15TH JULYEXTRAS *TROTTERS (PATTE)TONGUE (LANGUE)TAIL (QUEUE)BRAIN (CERVELLE)NONE - I DO NOT WANT ANY OF THE ABOVEDO YOU WANT YOUR TROTTERS CLEANED AND CHOPPED? - (NETTOYAGE LA PATTE)YESNONOTE FOR CLEANINGDO YOU WANT TRIPES?YESNODO YOU WANT YOUR TRIPES CLEANED? - (NETTOYAGE TRIPPES)YESNONOTE FOR CLEANINGCOMMENTS / REMARKSBOOK NOW PLEASE NOTE THAT ONCE PAYMENT HAS BEEN DONE YOU WILL BE CONTACTED BY ISMA’IL FOR CONFIRMATION AND SLOT ALLOCATION ( ZABAH TIME AND PICK-UP/DELIVERY TIME )
