Florists Special Touch

To place an order please print the form below and fax to:
Fax 02 9816 2185 International +61 2 9816 2185
or you may call one of our friendly staff who will take your order over the phone.
We accept major credit cards.


Deliver To:	Name:
	Address:
	Phone #:
	Delivery Date: / 2004
Order Details:	Arrangement description / style or item number:
	Size and cost:		$
	Extras:		$
		Delivery	$
		Total AUD	$
	Card Message:
Billing Details:	Name:
	Address:
	Phone #:
Payment:	Visa M/C Diners Amex B/card
	Card Number:
	Expiry Date:
	Signature: x

Fax 02 9816 2185
International +61 2 9816 2185