Mrs. Flowers' Request Form Mrs. Flowers Tel. 662-930-3196 Fax 662-930-3659(auto 24hr.) or e-mail us at MrsFlowersInfo@yahoo.com Thank you for contacting us We always try to do our best to fullfill you order. Right after recieving your form, our staff will try to accommodate your request and email you with the possibilities and the quotation. We answer our e-mail regularly both day and night. Note   Unless we recieve your confirmation after we e-mail you the info about the avialability and prices, we will not consider this a transaction. The information below is kept through this SSL form only for you convinience .

Customer e-mail :		(required)
Special request:
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 : 6.00-8.00hr. 8.00-10.00 hr. 10.00-12.00 hr. 12.00-14.00 hr. 14.00-16.00 hr. 16.00-18.00 hr. 18.00-20.00 hr.

  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