Registration Form For Royalty Membership

First Name

Last Name

Date of Birth

Mobile Number

Company/ Organization Name

I agree with

my membership in the Corriander Leaf and the processing of personal data provided for the purposes of the Corriander Leaf program. The personal data shall be processed for direct marketing purposes and sending of individualized offers to the Corriander Leaf Royalty Member.

Address

312/A East Shwegone Daing Road, Near SSC Hospital, Bahan Township, Yangon, Myanmar.

Contact Details

(+959) 969684514

breaktime@delhidelicafe.com

Opening hours

Monday – Sunday: 8am – 8pm

Call and Order on