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: Sp2 Leafy green in a homey country basket
Beautiful leafy pot plant are arranged in this country style basket this long-lasting creation will be an amazing reminder of your thoughtfulness

Regular Price: $59
Special Thai New Year Price: $49		 .
 
Customer e-mail :   (required)
Customer's Name :    
Address1 :  
Address2 :  
City :  
Country :  
Contact Work phone no :   (required)
Contact Night Phone No :   (required)
Deliver to:  
Address1 :  
Address2 :  
City :  
Zip Code :  
Country :   Thailand
Recipient's e_mail  
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:       For Master Card, please indicate the last three digit

Due to the new online regulation, 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 panel. 
Card Holder's name:    
Valid Thru:   (required)
   
     


Mrs. Flowers19 Phaholyothin 21 Rd. Ladyao Jatujak Bangkok Thailand 10900
Tel. 662.930-3196 Fax. 662-513-2961
E-mail:mrsflowersinfo@yahoo.com

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