ORDER FORM                 ORDER FORM                  ORDER FORM

Order your floral gift by our 800 telephone number or use this easy Email form..  Be sure to fill out the form completely.   Should you have special time requirements relating to delivery, calling us would be the wisest alternative, so that we may discuss the specifics with you.   Sorry, no evening deliveries.

800-437-0977  or  510 885-0997

 

Please Check Floral Tribute Desired:

Red/Wht Bskt W/Roses (F-1) $55 $75 $95Please indicate price desired

Mixed Spring Basket (F-2) $55 $75 $95Please indicate price desired

Standing Spray Any Color (F-3) $75 $95 $125 Please indicate price desired

Pink/Lavender Basket (F-5) $55 $75 $95Please indicate price desired

Yellow Basket (F-6)  $55 $75 $95Please indicate price desired

Mums and Carnations (F-7) $55 $75 $95 Please indicate price desired

Rose Cross  (F-8) $85 $150 $200 Please indicate price desired

 

Purchaser's Name:

Purchaser's Street Address:

City State and Zip Code

Daytime Phone:

Email Address for  your order confirmation only:

Credit Card Number:

Expiration Date

SEND THIS BEAUTIFUL FLORAL SELECTION

ON           : Deliv. Date

Send to:  Namephone

c/o Company nameIF APPLICABLE

Street address

City, State, Zip Code

Enclosure Card Message

For orders to be delivered outside the Southeast S. F. Bay cities, a $8.50 service and delivery charge will be added.  Sales tax  will be added where applicable.

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