Order form for delivery in GREECE
Select your flowers
Type of flowers:
Bouquet (roses, liliums, chrysanthemums) - 9.000 Drachmas
12 Red Roses - 10.000 Drachmas
Sender Information
Name:
Address:
City:
State or Province
Postal Code
Country
Phone Number:
E-mail Address:
Delivery Date:
Card Message:
(100 characters max)
Recipient Information
Name:
Address:
City:
Province:
Postal Code
Country:
Phone Number:
Payment Information
Credit Card Type:
VISA
Name on Card:
type the word FAX if are faxing this information
Credit Card Number
type the word FAX if are faxing this information
Expiry Date
type the word FAX if are faxing this information
If you want you can send your Credit Card
information via fax to: +30 10 8140 848
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