Settler Bears
Order Form
Date of Delivery
Recipient´s Name
Recipient´s Full Address
Recipients Phone Number
Flowers Required
-=Please Select=- Anna - $96.95 Connie - $57.50 Diana - $52.00 Molly - $46.50 Robyn - $52.95 Roslyn - $52.95 (Incl. GST) A $9.50 Fee will be charged for Shepparton City Areas or up to $20 for surrounding country areas. There will be an $8.25 Service Charge for Interflora Orders.
Words for Card
Your Name
*
Your Address
Your Phone Number
Your Email Address
Payment Details
Credit Card Type
-=Please Select=- Visa Mastercard Bankcard Diners Club American Express * Please Note that Diner's Club and American Express Cards attract a 4% surcharge.
Credit Card Number
Name as appears on card
Credit Card Expiry Date
Credit Card ID. No.
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