| Order Description |
What type of arrangement would you like to send? Example: seasonal variety, potted plants, orchids, etc.
You can leave this blank if you like, and we'll design something wonderful for you. |
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| How should the enclosed card read? |
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What is the occasion? Any additional comments for the designers?
Example: Just Because, Birthday, Condolences |
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| Delivery Date |
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Before tax and delivery fees,
how much would you like to spend? |
$ |
| Delivery Charge |
$15.00 |
| Tax Rate |
6.350% |
| Total |
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| Recipient Information |
| Who are you sending flowers to? |
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| First Name |
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| Last Name |
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| Street Address |
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| City |
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| State / Province (2 letter code for US) |
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| Zip / Postal Code |
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| Country |
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| Recipient Phone |
exten |
| Alternate Phone 1 |
exten |
| Alternate Phone 2 |
exten |
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