Phuket Thip Garden & Landscape Co.,Ltd.

2/61, Phraphuket Kaew Rd., Kathu, Muang, Phuket 83120, Thailand
Tel;(66-076) 225783, (66-09) 7245685, (66-01) 9703970, Fax;(66-076) 225784
E-mail; tip@gardenphuket.com, tipgardenpkt@hotmail.com
www.gardenphuket.com


FAX ORDER FORM

Payment to; Phuket Thip Garden & Landscape Co.,Ltd.
2/61, Phraphuket Kaew Rd., Kathu, Muang, Phuket 83120, Thailand
Tel;(66-076) 225783, (66-09) 7245685, (66-01) 9703970, Fax;(66-076) 225784

Ship to; ____________________________________ ________________________________________________
________________________________________________ ________________________________________________
________________________________________________ 

Port of Destination;_________________________

Type of credit card; ( ) Visa Card ( ) Master Card
Card Memberís Holder;______________________________
Card Number;( )( )( )( )( )( )( )( )( )( )( )( )( )( )( )( )
Valid From;________________Good Thru;______________

Total amount for authorize to charge;__________________
(_______________________________________________________)
For merchandise as follow;__________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________

Total (pieces)__________________

Condition; ( ) Air Freight ( ) Parcel Post ( ) DHL.
( ) F.O.B Phuket ( ) F.O.B Bangkok ( ) C&F Destination Port

Signature as on card;_________________________
Date of authorization;_________________________
 

CLOSE