To Order Online, you may:
e-mail us with your order
Fax your order to: 304-457-3279
Phone in your order. Our phone number is: 304-457-3270
Print the form below and send it to us.
RECIPIENT NAME__________________________________________
ADDRESS_____________________________________________________
CITY___________________________________________________
STATE AND ZIP_______________________________________
PHONE___________________________________________________
DELIVERY DATE______________ OCCASION____________________
FLOWER SELECTION_________________________________________
CARD TO READ__________________________________________________
____________________________________________________________
SPECIFIC DELIVERY INSTRUCTIONS______________________________
BILLING INFORMATION
FIRST NAME_______________________________________
LAST NAME_____________________________________________
ADDRESS________________________________________________
CITY, ST., ZIP___________________________________________
HOME PHONE_______________________________________________
CREDIT CARD-VISA MASTERCARD DISCOVER AMERICAN EXPRESS
CREDIT CARD NUMBER_____________________________________
EXPIRATION DATE-MONTH_______________ YEAR______________