Step 2:

  

If after hours, fill out the following form and fax to: 714-638-4584

 
NOTE: We will call you upon receipt of your order. If you do not receive a call from us, it may indicate that your order was not received. Please call our shop at (800) 338-6770 if you have not received a phone call from us.
Today's date:
DELIVER TO:
Name:
Address:
City: State: Zipcode:
Phone:
Delivery Date:

FIRST CHOICE:

Dozen Roses $65.00 Mixed Basket $25.00 and up
Mixed Vase $40.00 and up Bear Basket $30.00-$45.00 and up
Tea Cup $20.00 and up Green Plant $20.00-$30.00 and up
Blooming Plant $25.00 and up Dish Garden $25.00 and up
Fruit Basket $25.00 and up

SECOND CHOICE:

Message on card:
(Please write within box)
Special Instructions:
(Please write within box)
CHARGE TO:
Name:
Address:
City: State: Zipcode:
Phone:
Credit Card:
Credit Card #: Expiration Date:
 
This form must be completely filled out in order to be processed.
 
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