The Last Letters - Order Form

Order Form

We make choices throughout our lives.... these choices are often a balance between our desires and our means, they are decisions made with intent. But.... often we don't express our intent or tell our loved ones about it.
A quote by Alexandra Drane

Please complete the following form. The accuracy will help us serve you better and deliver the Last Letter correctly to the recipient.

By submitting the Order Form the customer agrees he/she will pay www.lastletters.com.sg USD34.90 (One time charge) to safe keep the customer's Last Letter, and to deliver to the recipient as seen in the Order Form at an appropriate time for the customer. The customer also agrees this purchase is based on the Terms and Conditions of sale.

Customer Information

Salutation
First Name *
Middle Name
Last Name *
Email *
Residental Address *
City
State
Country
Postal Code *
Mailing Address If different from residence
Home Phone *
Cell Phone *
Birthday

Recipient Information

Relationship * with Purchaser
Salutation
First Name *
Middle Name
Last Name *
Residental Address *
City
State
Country
Postal Code *
Mailing Address If different from residence
Home Phone *
Cell Phone *
Birthday
Payment Mode	Paypal/Credit Card Cheque
	* denotes mandatory field