DesignerLuxury Fax Order Form
Your Details * Required information
Ref:
Gender:   Male    Female *
First Name:  * Last Name:  *
E-Mail Address:  *
Street Address:  * Post Code:  *
Country:  *
State/Province:  * City:  *
Telephone Number:  * Fax Number:  
Newsletter:  Yes     No
Delivery Instructions
Gift-Wrapping / Gift Card? (Not available for bags due to shape/structure)  Yes     No
Special Instructions / Your Message
Order Details
Payment Option
Credit Card
 We accept Visa and MasterCard

Cardholder's Name (Exactly as it appears on card)

Card Number (No space or dash)

Card Expiry Date (Year/Month E.g. 2007/01)

3 Digit Card Verification Number
Need help?
Cardholder's Signature:


_____________________________________
(Your signature is required if you are paying by Credit Card).
Bank / Wire Transfer
Please remit your payment to:
Beneficiary: DesignerLuxury Private Limited
Bank Account Number: 065-900432-6
Bank: The Development Bank Of Singapore
Branch: Liat Towers Branch, Singapore
Swift Code: DBSSSGSG

Fax your order to: (65) 6245-1995
  1. Print out the order form.
  2. Ensure that your desired payment option is selected, and all required fields are filled out.
  3. Remember to sign the order form if you are paying by credit card.
  4. Fax to (65) 6245-1995
    (International customers, please dial your international access code followed by the country code 65, and our fax number 6245-1995).
NOTE:  Your order will be processed and shipped after receipt of your payment.
Please check that all required fields are completed, and confirm that your order and payment information are correct.
If you require further information or clarification, please contact us by e-mail:
customercare@designerluxury.com , or phone at (65) 6445-7838 or by fax at the above fax number.