Book Order Form Thank you for your interest in Wild Rice's books. Please note that each book costs $25, and a bundle of one of each book costs $40. 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 the number of copies of G*d Is A Woman / Tartuffe: The Imposter ($25 each) that you would like to order: * Please indicate the number of copies of Grandmother Tongue / Supervision ($25 each) that you would like to order: * Please consider purchasing the bundle at $40 if you’d like to order one of each book. Please indicate the number of bundles ($40 for 2 of each book) that you would like to order: * Total number of books Book/Bundle Cost If 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 & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint HelenaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. MartinSt. Pierre & MiquelonSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaSão Tomé & PrÃncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluU.S. Virgin IslandsUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis And Futuna IslandsWestern SaharaYemenZambiaZimbabwe Mobile Number * Email Address * For Self-Collection Self-collection is only available every Tuesday to Thursday (except Public Holidays), from 11am to 6pm at Wild Rice @ Funan. Please book a collection time slot below. Collection Date * Collection Time * Hours1112131415161718 Minutes00153045 Please 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 Methods Total Price (including delivery charge, if any) SGD I would like to pay by: *Credit CardPayNow/Bank Transfer Payment by Credit Card * Payment by PayNow/Bank Transfer Please 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 file Submit
