TERRAFLOWERS SPRING SEASON PURCHASE ORDER FORM

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        PLEASE PROVIDE SENDER INFORMATION
First Name:   

Last Name:   

Address:   

Zip Code:   

City:   

State:   

Other Country:   

Home phone:   
Work phone:   

Cellular:   

Email:   

        PLEASE PROVIDE RECIPIENT INFORMATION
First Name:   

Last Name:   

Home:   

Business:   

Address:   

Zip Code:   

City:   

State:   

Other Country:  

Home phone:  
Work phone:  

Cellular:  

Email:  

        ORDER SPRING ARRANGEMENTS    
 

SPRING COLORS   

NATURE'S BOUNTY  

LOVE IN BLOOM   

TRADITIONAL BOUQUET   

SIMPLY ORCHIDS   

FRESH TULIPS   

DAYLIGHT BOUQUET   

SUNNY BEAR   

SUNSHINE BOUQUET   

TOUCH OF SPRING   

SUMMER BLUSH     

SPLASH OF SPRING   

BALLOONS  

CHOCOLATES  

ORCHIDS  

SPECIAL CARD  

       
        ENTER YOUR CARD MESSAGGE    

       
 

DATE OF DELIVERY   

 
        COMMENTS OR SPECIAL INSTRUCTIONS    

       
        PAYMENT INFORMATION    

PLACE YOUR ORDER - WE WILL CONTACT YOU BY PHONE TO COLLECT YOUR PAYMENT INFO

PONGA SU ORDEN - LO LLAMAREMOS PARA PEDIR LOS DATOS DE SU TARJETA

     
 

Credit Card     

 
 

Cardholder Name     

   
 

Card Number     

   
 

Expiration Date     

 

(Format MM/YY)

 
       

We will contact you via e-mail or phone shortly with your order confirmation.

Please verify your information carefully before submitting for ordering.

       

       

       

Author: Binelli Engineering Italy and Terra Flowers & Gift of Miami.
Copyright © 2003 Terra Flowers & Gifts of Miami, Inc. All rights Worldwide Fully reserved.
Revised: gennaio 18, 2010

Terra Flowers Online of Miami " Flowers For All Occasions"
7921 S.W. Bird Road (40 ST), #39, Miami, FL 33155
Telephone: 305-264-5999 | Facsimile 305-267-2373

Email: info@miamionlineflowers.com

Copyright (c) 2002-3 Terra Flowers Online of Miami, Inc.. All Rights Worldwide Fully Reserved.

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