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Fax Order Form Delivery Date:___________________________________________________________________ Recipient Name:_________________________________________________________________ Recipient Address:_______________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Postcode:______________________________________________________________________ Telephone Number:_______________________________________________________________ Card Message:__________________________________________________________________ ______________________________________________________________________________ Order (please circle): Bouquet Hand-Tied Arrangement Planted Bowl Colour (please circle): Bright and Colourful Pastel Shades Seasonal Choice Price (plus delivery): £25(bouquet and Planted Bowl) - £30 - £40 - £50 - £60 - £100 Delivery (please circle): Future Day £5 - Same Day £7 - AM/PM £8.50 - International £8.50 Extra (please circle): Balloon £4 - Chocolates £5, £10 - Bear £10, £20 Wine £10 W/R - Champagne £20, £33 Senders Name:__________________________________________________________________ Senders Telephone Number:________________________________________________________ Account Name & Order Number:____________________________________________________ ______________________________________________________________________________ |