1.
Pre-book completing the details below and Fax to:
Fax: (61 2) 8765 1211 OR 2. Telephone: Sydney: (61 2) 9736 3400
OR
Melbourne: (61 3) 9001 8424
Mobile: 044singagram (044 7464247) OR Email: The
Dame
Please
complete and forward this form by fax to Singing Telegrams and a
representative will contact you
to confirm your booking and price. * = required fields
Deliver to:
*
Delivery
Name 1:
Delivery
Name 2:
*
Occasion:
If 'Other' please specify:
Age/Years:
Delivery
Details:
*
Delivery Date:
*
Delivery Day:
*
Delivery Time:
Between:
and
(2 hr Span Required, if different extra charges may
apply)
The
Dame
Gram Enters in a stunning Gown once worn
to 'The Palace" with
tradition & Gladiolas
A large Bouquet of
Helium Balloons
Occasion
Song
Party Treats
for the Guests
Your Message Card Hidden in a Balloon!
Chose
one (1) Gift from the following choices:
Autograph Bear
Champagne
Port
Teddy Bear
Chocolates
Select
an event type
Corporate Function/Occasion
Private Occasion
Would
you like additional gifts or services added to your
package?
* Message on Card to Read:
(Up
to 45 words only)
Extra Details:
(Optional: Information which may be useful to the
performer)
For Hen's
OR Buck's Nights Only
Fiancé's
First Name
Wedding
Date
Method of Payment Details:*
= required fields
Grand
Total on Credit Card:
*Credit Card type:
*Cardholder's Name as it appears on card
*
Credit Card Number:
*
Expiration Date:
*
Cardholder's address details as it appears on your
Credit Card bill
*
Address:
City/Town/Suburb:
*
State/Province:
*Zip/Post
Code:
*
Country
*
Telephone
Phone No
*Credit card verification number
If
AMEX insert the 4 digit ID listed on the front of your
card
If M/CARD or VISA insert 3 digit ID on reverse of
card
I
would like to pay on the above credit card:
The Full Cost Amount $95
Deposit - Then the remaining Balance paid as CashOnDelivery
to the Performer
*
You MUST SIGN
Signature:
Orderer's
Details:
*
Order Name:
*
Relationship to recipient's:
*
Phone No:
Mobile No:
*
Email Address:
Fax
No:
*
Order Address:
*
How did you find us?
If
a Search
Service
Fee
Details:*
= required fields
Package
Cost
1.
Now Just Print this form and fax it to: 61 2 8765 1211
