INFORMATION ABOUT ORDERING PARTY ( SENDER):

                                        Email address:  

                                                 Date:  

                                           First Name:  

                                            Last Name:  
 
                                              Address:  

                                              Addres:   

                                          Apartment #:  
                                            
                                          Postal Code:  

                                        City Province:  

                                              Country:  

                                        Day Telephone:  

                                    Evening Telephone:  
  
                    Product Name From The Description:  
                                                                        
                        If applicable, Product Code #:  
 
                    Product name From The Description:  

                        If applicable, Product Code #:  

                                             How many?  

                                     Total Item Price:                                                                                                           

Total Order Price:

Add Box of Decadent ! Chocolates - Lindor ! Please * Check Box (Add $19.50)

Larger * Hallmark Cards * Say more with our * Full - Size Greeting Cards Type *Occasion - ONLY in Box (Add $3.99)

Add ( Keepsake ) * Teddy Bear- Size - Med. Only - { Varies } - 8" to 10" - Cuddly ! (Add $19.50)

Add * MYLAR BALLOON ( 18" Dia ) - Helium Floats - *Type Occasion in Box (Add $4.99)

Add Wine Here Fine Sparkling White Wine light, persistent sparkle & discreet finish. Italy Impérial to be drunk freely between the aperitif and dessert. (750ml) Only - (Add $19.99)

                                 
                                                             
 
                                    Total Order Price:  


                                  Type of Credit Card?  

                                               Card #:  
 
                                          Expiry Date:  

Last 3 digits from the number at the back of the card:  

                             Full Name of Card Holder:  

                          Message for Classic Flowers:   Write here more details of your order!


SHIPPING/DELIVERY INFORMATION:

   EXPECTED DELIVERY DATE DD/MM/YY:  

        FULL PERSONAL NAME TO SHIP:  
 
        Company Name if Applicable:  

         Institution if Applicable:  
 
                     Contact Email:  
        
                 SHIPPING  Address:   

                                     

                       Apartment #:  

                          Buzzer #:  

                 Contact Telephone:  

             SHIPPING  POSTAL CODE:  
                                                                    
           SHIPPING  City Province:  

            
    Message for the Recepient:   Here a message to go with flowers