FAX ORDER/PEDIDO
Fax to: Within (en) Mexico SIN
COSTO: 01-800-715-9901 OR
Fax our Mexico office direct from U.S.A. 011-52-322-224-8966 OR
From Other countries:
+52-322-224-8966
Telephone/Telefono: Dentro Mexico sin costo 01-800-714-7841,
From USA to Mexico: 011-52-322-226-2500
-
- Day of Delivery/Dia de Envio______________ (No
Sunday deliveries/No Hay Entregas los Domingos)
- Name of Recipient/Para Entregar A:
_______________________________________________________________________
- Street
Address/Direccion:_________________________________________________________
- Colonia/Fracc/Suburb:___________________________________________________________
- City/Ciudad:__________________________________State/Estado_______________________
- Zip Code/Codigo
Postal:_______________________Country/Pais:_______________________
- Tel. # & Area Code/Tel. y Lada (Very Important/Muy
Importante):__________________________
- Due to small size of floral cards a brief message on card/Mensaje
(breve)en la
Tarjeta:_______________________________________________________________________
- _____________________________________________________________________________
- Items requested/Regalos Solicitados:________________________________________________
- What Occasion if
any/Ocasion:___________________________________________________
- Total Amount in U.S. dollars/Precio en U.S.
dolares:___________________________________
-
- Your Information Please (Para Facilitar este pedido, sus datos por
favor):
-
- Your name/su
Nombre:__________________________________________________________
- Address/Dirrecion_____________________________________
- ____________________________________
City/Ciudad_____________________________
- State/Estado___________________Zip/Codigo
Postal_____________Country/Pais__________
- Day Tel. #/Tel. en la Dia____________________ Eve Tel./Tel. En la
Noche________________
- Your email address/email direccion:________________________________
- Payment Method: Western Union/PayPal/Direct Bank Deposit:
___________________________
- For Paypal Pay to :
floramex@yahoo.com $_______________
- Western Union or Giro Telegrafico Pay to: Ma. Yesenia
Pelayo, Puerto Vallarta, Jalisco, MX $_______
- For direct bank deposit (Banamex or Bancomer), deposit to: Para Servirle
S.A. de C.V.contact us for bank routing numbers via email.
- __________________________Date/dia:__________