To place an order contact us by phone, fax, email, or
complete the form below:
The person(s)/family to whom the flowers are to be delivered:
Name(s):
Address:
City/Town:
Province/State:
Postal/Zip Code:
Country:
Phone:
Deliver on
The gift to be delivered:
Fresh Flower Arrangement
Roses - Arranged
Roses - Boxed
Single Rose in a Bud Vase
Gourmet Basket
Use the space below to type in a message for
the person who will receive your gift:
Your Name, Address and Billing Information
Name
Address
City
Province/State
Postal/Zip Code
Country
Phone
Fax
E-mail
Method of Payment:
Expiry date:
(month/year)
Card Number:
- or I will call
(888-626-5999) with the number
NOTE: A $5.00 delivery charge will be added to each
order for delivery in the Town of Peace River.
Please call for delivery charges elsewhere 888-626-5999
