Order Form

*) Has to be filled

BUYER		RECIPIENT
Name*		Name*
Div/Dept		Div/Dept
Address*		Address*
City*	Post code	City*	Post code
Email*		Email
Telp	Ext	Telp	Ext
Mobile*		Mobile*
Fax		Fax
DELIVERY	(click for info)
Date* (dd/mm/yy) Time AM PM Delivery Type*: Regular (RDS) Special (SDS)

		ORDER LIST		MESSAGE
No	CODE*	PRODUCT NAME	QTY*	We would attach a card along with your order so you could convey your message to the recipient, please write the message in the box below
1
2
3
4
5				SPECIAL REQUEST
6				If you have any special requests regarding your identity, order, card, message or delivery please write in the box below
7
8
9
10

Please do check all the information you have filled are correct & complete before submit