Name: As on Charge Card
E-Mail:
Country:
Street Address:
City, State, Zip:
Phone:
Flowers Requested:
Select BSK #4 $29.00 BSK #3 $25.00 BSK #2 $19.00 EMMY 2: $19.00 Love Roses:$19.00 Roses for my Love: $29.00 True Love: $49.00 Seasonal Flowers $19.00 Seasonal Flowers $29.00 Spring Pallete $17.00 Spring Roses $15.00 Less is More $9.00 Classic Stems $29.95 Bears Bown and White Bear in Basket $39.00 Siam Bear in Basket $39.00 Blue Bear in Basket $39.00 Pink Bear in Basket $39.00 Bown and White Bear with Bouquet $39.00 Siam Bear with Bouquet $39.00 Blue Bear with Bouquet $39.00 Puppy in Basket $39.95 Fruit Basket $25.00 Fruit Basket $29.00 Funeral Wreath $29.00 Funeral Wreath $49.00 Other - fill in comments
Color preferred:
Wording on Card to be included with flowers: