1.
Pre-book completing the details below and Fax to: Fax: (61
2) 8765 1211
OR 2. Telephone: (61 2) 9736 3400 or (61 2) 8765 1111OR
3. Complete & Post this order form to:
Singing Telegrams, Head Office,
PO Box 555,
CONCORD SYDNEY NSW AUSTRALIA 2137 Email: Bernadette
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)
*
Delivery Name:
*
Delivery
Co. or Venue Name:
and
*
Delvry/Venue Address:
*
Delivery Suburb:
*
Venue Phone No:
Booking
Name at Restaurant:
No.
of People Attending:
approx. only
*
Contact:
*
Mob. of Contact:
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
Package
Details:
Nerd-a-Gram™
--->more?
A Telegram that any other gift can't give. For that event where
you want the recipient/s to never forget this occasion...and
they won't!
*
Indicate the "Nerd-a-Gram Singing Telegram" Package you want by
selecting package 1 or 2.
Then complete the details directly below the chosen package:
Autograph Bear
Champagne
Port
Teddy Bear
Chocolates
Autograph Bear
Champagne
Port
Teddy Bear
Chocolates
Also
included in this package is:
Also
included in this package is:
A large Bouquet of Helium Filled Latex Balloons Nerd Glasses (with their name imprinted in Gold) Ball'n'Chain (For Hen's/Girls Night Only replaces
Glasses)
The Official Nerd Certificate
Party Treats
for the Guests
Your Message Card Hidden in a Balloon!
A large Bouquet of Helium Filled Latex Balloons Nerd Glasses (with their name imprinted in Gold)
The Official Nerd Certificate
Party Treats
for the Guests
Your Message Card Hidden in a Balloon!
24cm
Boston Mud Cake Oval
Silver Tray (To Keep)
Candles
or Sparklers
Select
an event type
Corporate Function/Occasion
Private Occasion
Select
an Event type
Corporate Function/Occasion
Private Occasion
Would
you like additional gifts or services added to your
package?
Would
you like additional gifts or services added to your
package?
* Message on Card to Read:
(Up
to 45 words only)
*
Extra Details:
(Please Supply us with a story on "HOW"
Eugene (Nerd-a-Gram) would really know the Recipient! Please
supply us with REAL NAMES, REAL TIME FRAMES etc...and
any other 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
*
Credit Card type:
*Cardholder's Name as it appears on card
*
Credit Card Number:
*
Expiration Date:
*
Cardholder's address: as it appears on your bill
City/Town/Suburb:
*
State/Province:
*Zip/Post
Code:
*
Cardholder's Country
*
Cardholder Telephone
*Credit card verification number
If
AMEX insert the 4 digit ID listed on the front of your card
If
B/CARD, M/CARD or VISA insert 3 digit ID on reverse of card
Payment
Details:
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:
Package
Cost
1.
Now Just Print this form and fax it to:
61 2 8765 1211