Windsor Florist - Online Florist

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Balloon
Standard: $ 8.00

Delivery charges are not
included in the price.
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*	Underlined fields are required. Incomplete forms will not be processed.
*	Multiple Orders: To send this item to more than one recipient, first submit this order. Then use the browser back button to enter data for recipients.

Order Form
Delivery Date Day: Month: Year:

Delivery Information
Recipient First Name
Recipient Last Name
Business Name
Address
City
Telephone	Ext Phone number if required
Message -max 30 words
Anniversary Birthday Baby girl Baby boy Get well Smiley face	Please specify the occasion from the choice on the left.

Payment Information

First Name

Last Name

Email Address

Day Telephone

Ext

Evening Telephone

Name on Credit	Credit Card Number
Visa Master Card AmericanExpress CRT
	Expiration Month:	Expiration Year:

Your Comments
Please use this area to provide additional information, instructions, comments or colour requests.

To Submit This Order

Once you have submitted your order, a separate email will be sent to you within 24 hours, confirming your order.

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