Okasie

- Flower selections subject to availability and season.
- No deliveries on Saturdays, Sundays and Public Holidays.
- Deliveries outside of town must be placed one day in advance.
Online Order Form   (Required entries are marked * )

PRESENTATION *
*


SPECIAL REQUESTS
(e.g. White Casablanca lilies, no pollen, special events or themes, etc.)

BUDGET *  

CONTAINER * 

DELIVERY AREA *   

TOTAL AMOUNT DUE  

DELIVER DATE *

DELIVER TO
Name *

Surname *

Telephone *

 Mobile

Delivery Address*

 Special Delivery Instructons

Prefered Time of Delivery *  


Card Message (maximum 50 words)



SENDER DETAILS
Name *

Surname *

Telephone *

 Mobile *
E-mail *
Address *


Country * 



METHOD OF PAYMENT *

EFT: Okasie Blomme, Standard Bank Stellenbosch (050 610) Cheque Acc No

(Please put your Name & Surname as reference when making payment and fax the proof of payment to +27 21 887 9904
or email a copy to info@okasie.co.za)

)

Please contact me to arrange payment

Credit Card

Cardholder Name


Card Type


CVC Number
(Last three digits on the back of your card)  		Card Number:


Expiry Date


CONFIRMATION AGREEMENT

By clicking ”SUBMIT” you agree to :
a) have your credit card debited by the above mentioned business with the agreed amount as per the “TOTAL AMOUNT DUE” above, if you have selected Credit Card as method of payment;
b) accept our disclaimer. Kindly read the disclaimer by clicking here.

I agree to the terms and conditions as set out above