PLEASE PROVIDE THE FOLLOWING INFO:

Contact Name   

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Florist Name   

Address   

City   

State/Province   

Zip/Postal Code   

Country   

Business Phone   

Home Phone   

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E-mail    

RECIPIENT INFORMATION:

CLICK IF SAME AS PURCHASER AND SKIP THIS SECTION 

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FEBRUARY 14, VALENTINE'S DAY 2022 - BI-COLOR ROSES

BI COLORS ROSES SELECT TYPE, SIZE AND QTY - EACH BUNCHE CONTAINS 25 ROSES

AMBIANCE:   

QTY. BUNCHES:   

IGUANA:   

QTY. BUNCHES:   

BLUSH:   

QTY. BUNCHES:   

HIGH MAGIC:   

QTY. BUNCHES:   

BEN GALA:   

QTY. BUNCHES:   

CRAZY ONE:   

QTY. BUNCHES:   

CARROUSEL:   

QTY. BUNCHES:   

CHERRY BRANDY:   

QTY. BUNCHES:   

CIRCUS:   

QTY. BUNCHES:   

CLASSIC CEZZANE:   

QTY. BUNCHES:   

DOLCE VITA:   

QTY. BUNCHES:   

FRIENDLY:   

QTY. BUNCHES:   

ESPERANCE (x 12 STM):   

QTY. BUNCHES:   

FANCY AMAZON:   

QTY. BUNCHES:   

FASHION:   

QTY. BUNCHES:   

LA BELL:   

QTY. BUNCHES:   

MURANO:   

QTY. BUNCHES:   

FRIENDSHIP:   

QTY. BUNCHES:   

GELATO:   

QTY. BUNCHES:   

GOSPEL:   

QTY. BUNCHES:   

GIPSY CURIOSA:   

QTY. BUNCHES:   

HELIO:   

QTY. BUNCHES:   

KONFETTI:   

QTY. BUNCHES:   

LAGUNA:   

QTY. BUNCHES:   

LATIN BEAUTY:   

QTY. BUNCHES:   

LATIN CIRCUS:   

QTY. BUNCHES:   

LATIN LADY:   

QTY. BUNCHES:   

LEONIDAS:   

QTY. BUNCHES:   

LIPSTICK:   

QTY. BUNCHES:   

LUXOR:   

QTY. BUNCHES:   

MALIBU:   

QTY. BUNCHES:   

MIRAGE:   

QTY. BUNCHES:   

NICOLE:   

QTY. BUNCHES:   

QUEEN AMAZONE:   

QTY. BUNCHES:   

ROSSINI:   

QTY. BUNCHES:   

SAHARA:   

QTY. BUNCHES:   

VERDI:   

QTY. BUNCHES:   

COMMENTS

DELIVERY DATE

Credit card   

Card Number    

Credit Card Secure Code    

Cardholder Name   

Cardholder Billing Address   

Expiration Date   

(MM/YY) 

SPECIFY ANOTHER PAYMENT METHOD:   

CASH ON DELIVERY:  

MONEY ORDER:  

CASH CHECK:  

CASH IN ADVANCE:  

OTHER:  

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

Please verify your information carefully before submitting for ordering