Order # Qty.  
Order No. 1
  
Order No. 2
  
Order No. 3
  
       
  Flowers     From:    
  Everyday  
Name
Company
  Roses  
Address
City
  High Style  
Province/State
Postal/Zip Code
  Celebration  
Daytime Phone
E-mail
  Spring          
  Summer     Deliver to:    
  Fall  
Delivery Date
Deliver Time
  Winter  
Name
Company
  Proms & Weddings  
Address
City
  Plants  
Province/State
Postal/Zip Code
  Sympathy  
Country
    
     
Daytime Phone
E-mail
             
     
Card Type
  
           
     
Message
    
             
        Payment Method:    
          For security purpose please call us with your card number: 1-800-565-4834 Or simply just submit the form with your information's and one of our staff will contact you.Or print this form and fax it to (519) 432-3915 International Fax No. 011-09-519-432-3915
All prices in Canadian Dollars. Prices do not include sales tax and delivery.
           
         
         
         

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