Mrs. Flowers' Order form

Mrs. Flowers' Order Form
Mrs. Flowers Tel. 662-930-3196 Fax 662-513-2961(auto 24hr.)
or e-mail us at MrsFlowersInfo@yahoo.com

Item: V11: A bouquet of Twelve White roses hand tied with Casablanca lilies

Valentine's Special. We can take order right to 6.00am 14 Feb 2003 Thailand time. However, if you order before the 10 Feb 2003, we will add a free box of homemade chocolate to your order.

Price: $85

Customer e-mail :

(required)

Customer's Name :

Address1 :

Address2 :

City and Country :

Contact Work phone no :

(required)

Contact Night Phone No :

(required)

Deliver to:

Address1 :

Address2 :

City :

Zip Code :

Country :

Thailand

Home Phone :
(Bangkok's addresses are not systematic; we need the Tels to verify the location)

(required)

Work Telephone :

(required) Extension :

Delivery

Date: Time :

If your desired delivery time is not listed, please use a special requirement form to indicate your preference. We will try our best to accomodate your request.

SPECIAL!!!
Add your personal touch.Something special for him/her

Message :

Special Requirement:

Payment Method:

Credit Card Number:

***Required for VISA and Master--Card has opted to require the last three digit of your credit card number. You can find them in the back of your card, printed on your signature pane--your order cannot be process without these numbers***

Card Holder's name:

(required)

Valid Thru:

(required)

Mrs. Flowers 19 Phaholyothin 21 Rd. Ladyao Jatujak Bangkok Thailand 10900
Tel. 662.930-3196 Fax. 662-513-4456
E-mail:mrsflowersinfo@yahoo.com

flowers thai

thailand flower delivery

flower shop thailand

bankgok florist

flowers thailand