Service Contents >> Order / Payment >> Delivery Info >> Fax Order
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(Or, you can send this form to yourself via email, electronically fill in the data then fax it to us).
*Required Fields
GinFlowers.com
http://www.ginflowers.com |
Tel : +65 6243 2997 |
| 32A, Chai Chee Avenue, #01-200, Singapore 462032 |
Fax : +65 6243 2997 |
| Email: sales@ginflowers.com |
Order date: (mm/dd/yy) |
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*Purchase Item : |
*Amount :SGD$ |
*Sender's Name : |
*Sender's Tel : |
*Sender's Email : |
Sender's Fax : |
Sender's Address :
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*Credit Card : ___VISA ___MASTER CARD |
*Credit card number : |
*Expiration Date : / ( month./ yrs) |
*Recipient's Name : |
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*Recipient's Phone : |
*Recipient's Mobile : |
*Recipient's Address :
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Card Message : (60 words limited)
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*Signature : |
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*Delivery Date : (mm/dd/yy) |
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