Euro Flowers Ottawa - Kanata Florist

Euro Flower Order Form

*Delivery Date:
Send to
*Name:
*Address:
*Phone:
Order Item - First Choice
*Item Number:
*Price:	Suggested Premium
Description (Leave this field blank):
Order Item - Second Choice
Item Number:
Price:	Suggested Premium
Description (Leave this field blank):
*Card Message (max. 100 characters):
Charge to
*Name:
*Phone:
Order Confirmation and Payment Method

(* denotes required field)