Select the area on this page to print
Print your selection.
Fill in and fax to us on +64 9 579 5693
Auckland Flowers and Gifts
Order / Tax Invoice
GST: 068 082 749
Delivery Date____________________ Order Date___________________________
Deliver To :______________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Phone :
_______________________________________________________________________________
Message On Card :_______________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
________________________________________________________________________________
Items
$
$
$
$
$
Delivery :
$
Total:
$
Charge to:
Credit Card Number:______________________________________________________________
Expiry Date:_________________
Name On Card:__________________________________________________________________
Card Type: Visa:
Signature:_______________________________________________________________________
Sender Name and Address: _______________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Phone :___________________________Email:___________________________________
