ORDER  FORM

To :  SentFlowers2Thailand

Attn : ………………………………………………….
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     SentFlowers2Thailand

19 Phaholyothin21 rd.,

Kwang Lardyao, Khet Jatujack, Bangkok 10900

Thailand

Tel.  029303196, 02-Flowers (02-3569377)

Fax. 029303659

 

Order By / Bill to :
Name : ……………………………………………………..

ª×èͼÙéÊÑè§

Address : ……………………………………………………

………………………………………………………………

………………………………………………………………

Tel…………………………………………

Fax :……………………………………….

 

DELIVERY  INSTRUCTIONS : 

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Delivery No.  (for siamflorist)

Product Code

ÃËÑÊÊÔ¹¤éÒ

Unit Price

ÃÒ¤ÒÊÔ¹¤éÒ

 

 

Delivery To (name) :

ª×èͼÙéÃѺ    ……………………………………………………

 

Tel No. …………………………………………………..

Address : ………………………………….……………………

………………………………………………………………….

………………………………………………………………….

………………………………………………………………….

Delivery Date :  …………./................./.......…………..

 Çѹ·Õè¨Ñ´Êè§

Requested Delivery Time : AM / PM ……………...........………To……………......………………

ªèǧàÇÅÒ·Õèµéͧ¡ÒÃãËéÊè§ÊÔ¹¤éÒ : àªéÒ / ºèÒ                  ¶Ö§

Message (if any)

¢éͤÇÒÁ·Õèµéͧ¡ÒÃãËéÃкØ㹡ÒÃì´ÍǾÃ

 

……………………………………………………………………………………………

 

……………………………………………………………………………………………

 

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……………………………………………………………………………………………

 

……………………………………………………………………………………………

 

From :    ……………………………………………………

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PAYMENT INSTRUCTIONS

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Total Amount of Purchase …………………. To be paid by :

¨Ó¹Ç¹à§Ô¹·ÕèµéͧªÓÃР                    ªÓÃÐâ´Â

  Credit Card   VISA/ MasterCard / American Express

     Card No.  …………………………………………………………………..

     expiration MM/YY …....../…........

     The last 3 digits number on the back panel (for Visa/Master) :  ………….

     The 4 digits number appear on the card (for Amex)  :  ……………

 

     Full Name of  the Owner : ………………………………………………………………………

     ª×èÍ-¹ÒÁÊ¡ØÅà¨éҢͧºÑµÃà¤Ã´Ôµ

       Card Member’s Signature : ………………………………………………………….

     ÅÒÂÁ×ͪ×èͼÙé¶×ͺѵÃ

  Money Transfer

     â͹à§Ô¹à¢éҺѭªÕ

        SiamCommercial Bank Saving Account 041-2-48506-6 Name :Taras Sudhikam

          ¸¹Ò¤ÒÃä·Â¾Ò³ÔªÂì ¨Ó¡Ñ´ ÊҢҺҧࢹ ºÑ­ªÕÍÍÁ·ÃѾÂì 041-2-48506-6 ª×èÍ ¸ÒÃÑÊ ÊØ·¸Ô¤Ó

        K Bank  Saving Account 070-2-55558-2  Name : Taras Sudhikam

          ¸¹Ò¤ÒáÊÔ¡Ãä·Â ÊҢҺҧࢹ  ºÑ­ªÕÍÍÁ·ÃѾÂì 070-2-55558-2 ª×èÍ ¸ÒÃÑÊ ÊØ·¸Ô¤Ó

      Bangkok Bank  Saving Account 129-4-75225-6  Name :Taras Sudhikam

          ¸¹Ò¤ÒáÃا෾ ÊÒ¢ÒÅÒ´¾ÃéÒÇ ºÑ­ªÕÍÍÁ·ÃѾÂì 129-4-75225-6 ã¹¹ÒÁ ¸ÒÃÑÊ ÊØ·¸Ô¤Ó

        KrungThai Bank Saving Account 039-1-40874-7 Name :Taras Sudhikam

          ¸¹Ò¤ÒáÃاä·Â ÊÒ¢ÒÊÒÁá¡à¡ÉµÃ  ºÑ­ªÕÍÍÁ·ÃѾÂì 039-1-40874-7 ã¹¹ÒÁ ¸ÒÃÑÊ ÊØ·¸Ô¤Ó

 

If you’ve already completed the order form please send us by fax to 662-930-3659  in you used for money transfer please included the Pay-In Slip (or ATM deposit) send us together.

ËÒ¡¡ÃÍ¡ÃÒÂÅÐàÍÕ´ÊÁºÙóìáÅéÇ¡ÃسÒÊè§á¿¡«ìà¾×èÍÂ×¹ÂѹÁÒ·Õè 0-2930-3659ËÒ¡¤Ø³ãªéÇÔ¸Õ¡ÒêÓÃÐà§Ô¹â´Ââ͹à§Ô¹à¢éҺѭªÕ  ¡ÃسÒṺ㺹ӽҡÁÒ¾ÃéÍÁ¡ÑºãºÊÑ觫×é͹Õé´éÇÂ

 

Note :

  1. Please fill in your requirements in this Order Form. And fax to 662-930-3659

ËÒ¡¡ÃÍ¡ÃÒÂÅÐàÍÕ´¤Ãº¶éǹáÅéÇ¡ÃسÒá¿¡«ìÁÒ·Õè 0-2930-3659

  1. confirmation of your Fax Order will be made via telephone.  If you do not hear from us 1 working day after you

       faxed your order, please contact us at 662-9303196

¶éÒËÒ¡·èÒ¹äÁèä´éÃѺ¡ÒõԴµèÍ¡ÅѺÀÒÂã¹ 1 Çѹ·Ó¡ÒÃËÅѧῡ«ìãºÊÑ觫×é͹Õé  ¡ÃسҵԴµèÍ¡ÅѺÁÒÂѧËÁÒÂàÅ¢ 0-29303196

  1. We reserve the right to replace any item with anotehr equal value depending on stock avilablility.

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Thak you for your order.  We assure you of our best service at all times.

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