Devine Florist And Baskets Faxable Order Form

To order Quality Flowers or Gifts Baskets, complete this form, print it out, then  fax or email it to us.
Only orders for delivery in Australia will be accepted. For orders from Australia going overseas,
 phone  Devine's on 61 (2) 9588 2555 or Fax on 61 (2) 9588 3935.

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Delivery Date:   Which Day ?
Company Name:
Recipients Name:
Address:
Post Code:
Delivery Instructions:
Phone No:  Mobile No: 


Choose either a Specific Style from the PRODUCT page or OCCASIONS page and quote its Style No.
 (e.g.) or choose a General Style.  Give any colour or flower preferences in the Preferences box.
All Prices in $AUS.
*Extra Charges Will Apply On Public Holidays
 Same Day Orders To Be In By 2pm

Style Number:   OR   *Please quote style number from our PRODUCT page
General Style:


*DROP DOWN COSTING GUIDE*
Preferences:


(eg flower type or colour as in  red carnations)
Order Value:

Handling (inc. taxes)

Card Message
200 Characters:





Devine's will  telephone or email you to confirm this order. Please give a BUSINESS HOURS CONTACT NUMBER and email. This order will not be sent without confirmation.
 All Orders will need full personal details of credit card holder !

Cardholder Name:
And Phone No:

Credit Card No:

Exp Date:

Verification No: *Turn your card over. Place the last (3) numbers above your signature in box*
Type of Card:
Your Name:
B/H Phone:
Email:
                     
                     Thank you for using the services of Devine Gift Baskets And Flowers.