Order Form for Great Names

Sl no.

First Name/s
(one or two)

Enter type
(see above)

Poem or zodiac
(if required)

Message & sender's name
(max 20 words)

Background

Address & date of delivery

Order Now

Order information

Cost of delivery is included in the cost of the gift
The cost of each gift for single name - Rs 200 or US$ 6.
For double names and single name with zodiac - Rs 250 or US$ 8.
Delivery is by courier within India and air mail outside India
The gift is delivered in a special protective packet
Order is processed immediately upon realisation of payment
Production time for gift is 48 hours

Before you order

Decide which gift you want to send - first name or poem.
If poem, select the category (eg friendship, wedding, dad etc)
For both, see the backgrounds and make your selection

ORDER FORM
You can place upto 5 orders in one form. For more, please use a fresh form.
For bulk/corporate orders, please contact gifts@greatnames.com

Your Particulars

Mr Mrs Ms
Name:

CONTACT:

Phone
Fax
Email
Mobile

ADDRESS:

House/street

City
State
Country
Pin/Zip

Types

Poems for occasions

1. First name - single
2. First name - for couple
3. First name (single) with zodiac
4. Poem for occasion

MILLENNIUM
VALENTINES DAY
BIRTHDAY
LOVE
ANNIVERSARY
MOTHER'S DAY

WEDDING
BIRTHDAY
ENGAGEMENT HUSBAND
WIFE

FRIENDSHIP
MUM
DAD
DAUGHTER
SON
NEWBORN

Cost

Order no	Cost
1.	Rs200 Rs250 $6 $8
2.	Rs200 Rs250 $6 $8
3.	Rs200 Rs250 $6 $8
4.	Rs200 Rs250 $6 $8
5.	Rs200 Rs250 $6 $8
Total cost in Rs
Total cost in $

Payment
You can choose any of the following:
Deposit to the credit of bank account number 31107108 at any branch of ANZ Grindlays anywhere in India
Send payment by courier/mail
By credit card
In case of credit card, please complete, print, sign and fax to 91 11 6466081

Card hoder's name
Card type	Amex Master Visa
Card Number
Valid upto
Pin/Zip code
Amount payable to Great Names
Signature: _________________________________________________

(each order ONLY once please)
No on line acknowledgement. We will send you an email confirming the order.

Home llThe great gift idea llAll occasions llCataloguellSpecial offers llQuiz & win llWork with us