Mrs. Flowers' Order Form
Mrs. Flowers Tel. 662-930-3196 Fax 662-930-3659(auto 24hr.)
or e-mail us at MrsFlowersInfo@yahoo.com



Item: V24  Twelve Red roses bouquet  Handtied with a cute Hippo teddy bear.   

Discount 10 US
Regular Price: 95 US$
Special Price:85US$

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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 

  

Sorry Due to the amount of order that we have recieved we can only accept the delivery for the afternoon of 14 Feb 2005

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. 662-930-3659
E-mail:mrsflowersinfo@yahoo.com

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