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:

Phone:

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.