MEMO TO ALL YEAR 12 - 2003 BGS FORMAL ATTENDEES

							                                                           Formal Flowers
                                                             ORDER FORM
                                             Day: ___________________
                                             Date: ___________________


Name: ___________________________ Phone: _________________      Mob: _______________

Email: ____________________________________________________________________________

Delivery Address: ________________________________________________________ ___________




           Wrist Corsage with Silver/Gold Band                    $40      
           Wrist Corsage with Pearl Band                          $55      
           Wrist Corsage with Diamante Band                       $85      

           Matching Buttonhole                                    $15      

           Delivery (within Brisbane area)                        $15      

           Total                                                  $ ………..



           Dress Colour         : _____________________

           Main Flower Colour: (Please mark one)

                   White                      Purple
                   Cream                      Light Pink
                   Red                        Dark Pink

                 ** All flowers are beautifully gift boxed **

           PAYMENT:
           Card No:      ___________________________
           Expiry Date:  ______
           Name on Card: ___________________________
           Amount:       $________


How to order:
1. EMAIL order to: gifts@simplyspoiltrotten.com.au
2. FAX order form to 3259 8240
3. PHONE order to 3367 0704 or Mobile 0419 679 421