HAWAIIAN FLOWERS ORDER FORM

Important: When you have filled out the form to your satisfaction, click on the SEND button at the very bottom of the form to enter your order. If you have the Netscape browser, version 1.22 or later and the key at the bottom is broken, you can encrypt your order for the latest in privacy and credit card security.

Order Information:

  • Hawaiian Floral Selections

    (Small $59.95, Large $79.95) (Wreath $159.00, Basket $59.95)

    - Cost

    - Please Add 6% Tax (All Areas)

    - Total

    Information in case we need to contact you:

    - Your Name

    - Email address

    - Phone

    - Alternate phone

    Information about the recipient:

    - Name

    - Street Address

    - City

    - State/Province

    - ZIP/Postal Code

    - Country

    - Phone

    - Alternate Phone

    - Email address

    - Special Intructions

    Information about the order:

    - Note on enclosed card

    - Name on enclosed card

    - Occasion

    - Date to deliver

    If you place an order by noon Eastern Standard Time, orders will be shipped the same day. To avoid weekend delay by receiving your order by Friday, orders must be place by Tuesday for anywhere east of Denver; and by Wednesday for anywhere west of Denver.

    - Add $10.00 for Delivery to Canada

    - Add $5.00 for Express Delivery (shortens delivery by one day)

    - Total

    Credit Card Account:
    VISA Mastercard American Express Discover

    - Credit Card #

    - Name on card

    - Expiration Date

    Reminder:
    For same week delivery, orders must be placed by noon Tuesday. Orders received after noon Tuesday will be deliverd the following week. For your convenience, we do accept advanced orders. Please order early for the holidays!
    - (select to send order) - (select to clear the form)

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