Order Form

Recipient Info

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Name:

Street Address:

Phone with Area Code:

Sender Info Name:

Your Cell Phone with Area Code:

Your Email Address:

Flower Delivery Info
Delivery Date:

Message on Card including signature:

Flower types/colours (depending on availability):

Traditional
Funky

With Vase
NO Vase

What would you like to spend on the flowers including delivery & GST? Please note, prices start at $63. Delivery charges are below.
$

Delivery charges

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