CUSTOMER ORDER FORM (CORPORATE COMPANIES AND GOVERNMENT AGENCIES)
*Compulsory fields
ORDER DETAILS
Please visit www.flowersinmind.com for product code / details
OR email us at support@flowersinmind.com to request for our E-Catalogue
OR call us at +65 69085584 for any assistance
Product Code of Item to purchase *
Your answer
Confirmed price seen on E-Catalogue / Budget cost of hamper: *
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Colour Theme *
Additional remarks or requests on product selected:
Your answer
CORPORATE DETAILS
Ministry/Statutory Board:
Eg: LTA-Land Transport Authority
Your answer
Department:
Eg: LTA01-LTA HQ
Your answer
My name: *
(Mr / Ms / Mrs / Dr)
Your answer
My Email Address: *
Your answer
My supervisor / approving officier email address:
(to be CC for confirmation)
Your answer
My Office Number:: *
Your answer
DELIVERY DETAILS
Recipient's Name: *
(Mr / Ms / Mrs / Dr)
Your answer
Recipient's Address: *
(Please include Postal Code)
Your answer
Recipient's Contact No:
(Please enter if you need us to confirm with recipient on the delivery timing)
Your answer
Delivery Date: *
(DD/MM/YYYY)
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Delivery Time: *
(HHMM hrs)
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Message
Eg: (Dear Jessica, Get Well Soon, From XXX)
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Special request on delivery:
Your answer
PAYMENT OPTIONS
Our payment options will be : *
(This option is applicable for government agencies only)
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