Text Box: LOCAL DELIVERY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Customer Name                            Phone

Email                  Address

Recipient Name                Recipient Phone

Recipient Address

Message

Flower Selection       Price         Leis   

Delivery Date                                              Time: before         

Please, Indicate which option that our carrier shall select if the recipient is not home.

                                                

 CARD INFO 

Example: Michael Jackson  4817-0006-2846-5000   334 3 digits on the back of your Visa or Master Cards. 

  submit Card Info with Order Form      Card Expire Date            CV Code above your signature

E-Mail and Phone No                   

Note: 1. Delivery Service Charge: Minimum $9.50. 2. Tropical Bouquet: price start at $47.50 and up. 3. * which means for local pick up only.

 

 

 

 

 

 

 

 

 

Your CVC/CVV Number is found on the back of your credit card on the signature panel. It is comprised of the last three digits appearing on the signature panel.