FLOWER4KEEPS

ORDER FORM. 

Name :-                               

 

Address :-                            

                                          

 

Daytime telephone number :-   

Number of flowers enclosed:-  

Number of pictures required in our modern silver frame:-

(Please label which flower/s you would like displayed in this colour frame) 

Number of pictures required in our modern gold frame:-

(Please label which flower/s you would like displayed in this colour frame)

Glass engraving @ £30.00 per picture  

Please detail below what you would like engraved on the glass:-

 

                                          

Number of pictures you would like engraved:-  

(Please label which flower/s you would like glass engraved)

We guarantee that we will only preserve and frame the flower

that you send to us however if you have concerns about its

condition and would like us to replace it please enclose an

additional £5.00 with your order. Please see our terms and

conditions about replacement flowers.

Delivery address:-   

 

 

 

I request that Flower4keeps three dimensionally preserve and frame the enclosed flower/s,

I confirm that I have read and understood your terms and conditions. 

I enclose a cheque made payable to Flower4keeps £ as full payment /

please debit my payment card detailed below 

Card Number:-                                         Valid from:-                                 

Expiry date:-

Security number:-.                                   Issue number:-  

(Please note that there is no charge for debit card payments

but three per cent will be added to credit cards) 

Signature:-                                                               

Date:-

Please deduct ten per cent if you require more than one picture
Please complete and print this form and

enclose it in the box with your flower/s