Mrs. Flowers' Order form

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: F10 The grand bouquet in elegant vase
This magnificent arrangement with two dozen of pink roses irises, nerines and cala lilies in an elegant vase will unmistakably makes the right impression.

Price: $79

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.
Message :
Special Requirement:

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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