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Order Request

Sender Name*
Sender Email*
Sender Phone*
Amount you would like to spend, excluding delivery (minimum $50.00)*
Delivery Date*
Date Format: MM slash DD slash YYYY
Recipient Name*
Recipient Phone*
Recipient Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Message on the Enclosure Card*
Any Special Instructions*
*Please note that we do not deliver on Sundays or Mondays. **Also, filling out this form does not complete your order registration, we will be in contact with you shortly to go over your order and payment.