Twenty Years of Wild Rice Order Form Thank you for your interest in TWENTY YEARS OF WILD RICE, a full-colour coffee-table book celebrating Wild Rice’s journey to date. Please note that this book is currently on a special promotional price of $30 (U.P. $60) each. This order form will help us to facilitate payment and self-collection, and will take you about 5 minutes to complete. Please have your payment details ready with you. Please indicate the number of copies of Twenty Years of Wild Rice ($30 each) that you would like to order: * Total Price SGD Self-Collection Please note that self-collection is only available every Tuesday to Thursday (except Public Holidays), from 11am to 6pm at Wild Rice @ Funan. Please book a collection time slot below. Name * Mobile Number * Email Address * Collection Date * Collection Time * Hours1112131415161718 Minutes00153045 Please note that self-collection is only at Wild Rice @ Funan (#04-08). *I acknowledge that I have read and understand that self-collection is at the abovementioned address. Payment Methods I would like to pay by: *Credit CardPayNow/Bank Transfer Payment by Credit Card * Payment by PayNow/Bank Transfer Please make a transfer to WILD RICE Ltd using UEN 200100891D or UOB 102-316-408-1 with remarks [YourName]-WRbook (e.g. JohnDoe-WRbook). Then, upload a screenshot of the completed transaction below. Upload transaction screenshot * Choose FileNo file chosenDelete uploaded file Submit