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; ____________________________________
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Port of Destination;_________________________
Type of credit card; ( ) Visa Card ( ) Master Card
Card Member’s Holder;______________________________
Card Number;( )( )( )( )( )( )( )( )( )( )( )( )( )( )( )( )
Valid From;________________Good Thru;______________
Total amount for authorize to charge;__________________
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For merchandise as follow;__________________________
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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;_________________________
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