Please provide the following sender information:
(Post Office Boxes cannot be used for deliveries.)

Same Day Delivery If You Call By 11:00 a.m. Except During Holiday Weeks.
770-972-3030 / 1-800-546-3247 / Fax 770-972-7766

Prices are plus delivery, sales tax and out of town relay fees

MINIMUM ORDER FOR DELIVERY: $25.00

Add $10.95 Delivery charge - Some funeral homes may be less
Add $9.95 Wire Service Fee for out-of-state and outside metro Atlanta
Add 6% Sales Tax on total order

Minor substitute may be necessary in order to insure quality.
Selections subject to availability.
Prices may be higher on some types of flowers at holiday time due to supply and demand.

            Name 
  Street address 
 Address (cont.) 
            City 
  State/Province 
 Zip/Postal code 
         Country 
      Work Phone 
      Home Phone 
             FAX 
          E-mail 
Are you a member of the VIP Program? 
Would you like to join our VIP Program and receive 10% off your next internet order? 
										

Please provide the following ordering information:

QTY     DESCRIPTION
 
 
 
 
 
PRICE

Prices are plus delivery and out of town relay fees

                 BILLING
     Credit card  VISA MasterCard American Express Diner's Club Discover 
 Cardholder name 
     Card number 
 Expiration date 

                 Delivery
    Delivery Date 
 Recipient's Name 
   Street address 
  Address (cont.) 
             City 
   State/Province 
  Zip/Postal code 
          Country 
       Home Phone 
       Work Phone       

Message On The Card