To: Sim Florist & Gifts

Tel : 603-4280 6526

Bill To: _____________________________

 

Fax. : 603-4280 6526 Address: ____________________________
  Tel: _______________
  Contact Person: ________________________
Date:________________ Signature/ Company Chop _________________
   
Flower Code No.________ Quantity _________ Price ___________
Deliver To ______________________________________________
Address: ________________________________________________
Telephone: ______________ Mobile Phone: __________________
Delivery Date: ____________ Delivery Time Preference: AM/PM/Night/Anytime
Message: ___________________________________________________________
___________________________________________________________________
From: ________________________________________

Payment Terms: Full Payment Before Delivery. Cheques/Money Orders Should Be Crossed And Made Payable To: Sim Florist & Gifts.