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Order Form

Fields Marked * are required. If you miss one, you will have to go back and fill it in.

All prices have been quoted in Canadian dollars. If your order is being delivered outside Canada the daily exchange rate will apply.

Please be advised that a delivery charge of $14.00 will be applied in the Victoria area and appropriate taxes will be added to your order.

If you wish to have your flowers delivered in a vase, please remember to order one below.

* Required Field

You Ordered:

Bright Bouquet for $40.00 and up

Sender Information

* Name
* Phone Number
Custom Budget - if you selected custom please indicate your budget here
Flower Preferences: If you wish specific colours or flowers. (price may vary)

Delivery Information

* Deliver to:
* Street Address
* City
* Province/State
Postal Code/ZIP
* Phone Number of Recipient (required for delivery)
* Delivery Date

Please remember to sign your card message

Card Message
* Credit Card Type
* Credit Card Number
* Expiry Date
* Three or four digit security code (CSC) from back of credit card

These forms are hosted on a secure server.