Book Order FormThank you for your interest in Wild Rice's books. Please note that each book costs $25. This order form will help us to facilitate payment and delivery/self-collection, and will take you about 5 minutes to complete. Please have your payment details ready with you.Please indicate which book(s) you would like to purchase: *G*d Is A Woman / Tartuffe: The ImposterGrandmother Tongue / SupervisionPlease indicate the number of copies of G*d Is A Woman / Tartuffe: The Imposter you would like to order: *Please indicate the number of copies of Grandmother Tongue / Supervision you would like to order: *Total number of booksIf you would like to purchase more than 4 books, please email Wild Rice at sales@wildrice.com.sg.Please indicate your preferred delivery option: *Local delivery (surcharge applies; delivery excludes Jurong Island and Sentosa)Self-collection at Wild Rice @ Funan (free)Please note that delivery will be made within five (5) working days. We will follow up with an email with your delivery details. *I acknowledge that I have read and understand the above statement.Please note that there is a flat delivery charge of $7 for up to 4 books. *I acknowledge that I have read and understand the delivery charges.Name *Street Address *Postal Code *Country *AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People’s Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d’IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People’s Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People’s Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabweMobile Number *Email Address *For Self-CollectionSelf-collection is only available every Tuesday to Thursday, from 11am to 6pm at Wild Rice @ Funan. Please book a collection time slot below.Collection Date *Collection Time *Hours1112131415161718Minutes00153045Please note that self-collection is only at Wild Rice @ Funan (#04-08). *I acknowledge that I have read and understand that self-collection is at the abovementioned address.Payment MethodsTotal Price (including delivery charge, if any)SGDI would like to pay by: *Credit CardPayNow/Bank TransferPayment by Credit Card *Payment by PayNow/Bank TransferPlease make a transfer to WILD RICE Ltd using UEN 200100891D or UOB 102-316-408-1 with remarks [YourName]-WRbook (e.g. JohnDoe-WRbook). Then, upload a screenshot of the completed transaction below.Upload transaction screenshot *Choose FileNo file chosenDelete uploaded fileSubmit
