DELIVERY DAY & DATE _____________ Name of Recipient ____________________ Address of Recipient ___________________________________ ___________________________________ ___________________________________ Post Code ______________________ Tel No: ________________________ Order Requirements ________________________________
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Standard delivery Charge for
Brighton and Hove 3.95
Woodingdean, Universities, Portslade
Southwick, and Shoreham by Sea 5.00
Card Message
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Types of Flowers
Cut Flower Bouquets (traditional) from 20.00
Modern Hand-Tied Bouquet from 25.00
Cut Flower Arrangements from 22.50
Planted Gardens from 20.00
Funeral Designs from 22.50
Order Requirement- Please state type of flowers and colours you require.
Colours: _____________ Type:_________________
Amount: ______________ Delivery: _________ Total: _________
Customer Details
Name ________________________________________
Address______________________________________
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Tel Day__________________ Eve________________
Fax Number __________________________________
Credit/Debit/Switch Number
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Issue No:_______________ Expiry Date_________
N.B. All Values INC V.A.T
