1144 Alpharetta St,  Roswell, Georgia  30075

Use your browser's print button to print this form.  Please complete all information and FAX to 770-998-3486.

Description

Quantity

Price

Total
       
       
       
       
Total Merchandise:  

  Zip Code Delivery Charge
 30075 and 30076  $7.50
 30004, 30005, 30022  $8.50-$10.50
 30328 and 30350  $8.50
 All other zip codes placed on wire service  $7.95 for wire transfer fee
 

 Same day delivery on all orders received by 12:00 Eastern standard time. No Sunday deliveries.
Colors and flowers may vary due to season and availability. In some cases substitutions may be necessary.
Prices are slightly higher for holidays.
 
Subtotal:    
(Georgia residents add 7 percent sales tax)    Sales Tax:    
Total:    
Purchased by: Deliver to:
(if different than Purchased by)
Name: Name:
male/female
Address: Address:
City:State:           Zip: City:State:           Zip:
Phone: Phone:
Email Address:
Name   (as it appears on your credit card)
Card Type
(circle one)
Account Number
Expiration Date
 
MasterCard     VISA