RECIPIENT (fill with the data of the person who will receive the flowers) The flower arrangement is directed to:
Full Name:
Street and Number:
Interior Number:
Colony / Suburb:
Postcode / Zip Code:
City (and State):
Country:
More Location Data?
Phone:
Cell Phone:
Delivery Date:
Delivery Time:
Message accompanying the flowers:
SENDER (fill with the data about who send the flowers):
Name:
Cel Phone:
E-mail: You will receive the delivery results, an all our information, through the E-mail. Your E-mail is at the same time your ORDER NUMBER, and it is our preferred way to communicate with you.
Any other information or SPECIAL advice about your order:
May we send only our florist advertising to your E-mail? yes. not.