Order Form Flowers - Download as DOC

							                           Friday Flowers
                   Standing order online order form
                       Please complete return by email to info@fridayflowers.com.au


       Name
     Address


   Mobile phone
   Other phone
  Email address

Effective      /   /         I would like to subscribe to:

 Frequency of Deliveries       Bunch Amount          Delivery Fee*        Total Spend (inc. Delivery fee)
                                    ($)
Weekly/Fortnightly/Monthly



*Delivery fee is $5 for areas listed on the delivery page on our website. For all other areas, please
contact us.

Note: extra deliveries or cancellation of delivery can be confirmed via email by Wednesday midday for
Friday delivery.

Delivery Details (only complete if different from above):

       Name
     Address


   Mobile phone
Special Instructions


How did you hear about Friday Flowers?_____________________________________________________


PAYMENT OPTIONS
Please arrange for a recurring direct transfer of funds on the Tuesday prior to each scheduled Friday
delivery to:      BSB:                  124-195
                  Account Number:       20711562
                  Account Name:         Friday Flowers

For payments via Visa/ Mastercard, please complete the Ezidebit form. Note that there is a once off
upfront surcharge when you sign up for this service of $2.20




Any personal information collected on this form will only be used by Friday Flowers. It will not be disclosed
to others without your consent. We will contact in regard to our weekly flower selections and with BLOG
updates. You can choose to unsubscribe from these databases.