Check ITEM desired:

R-1a Long Stem Roses $49 $59 $69Please indicate Color

R-2 Ex-Fancy / Import Roses $69 and $79Please indicate price.  Indicate Color?

R-3 Bud Vase Trio $39 Please indicate price. Please indicate Color? 

Half Dozen Roses Arranged $30Please indicate price. Please indicate Color? 

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 ROSE ARRANGEMENT        : 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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