International Flowers Delivery Order Form at

www.simonsaysroses.com/international-florists

1) Please complete and print this form for your records.

2) Enter all information carefully and fully to ensure prompt and accurate processing of your order.

3) To submit your order, either:

-- Phone toll free in the U.S. and Canada to 1-800-705-ROSE(7673) 24 hours a day OR

--- Fax this form to 1-250-391-0563 (country code "1") 24 hours a day OR

-- Phone direct to 1-250-391-4000 (country code "1") 24 hours a day

A confirmation will be sent via email unless otherwise instructed. .

Item Category and Price
Example: Cut Flowers, Designer Arrangement, or Rose Dozen with price as listed on this site

 

Delivery Date (allow up to 3 business days...no Sunday deliveries)

 

Recipient's Name

 

Recipient's Full Address (Country, State/Province, Zip/Postal Code, Street Address)

 

Recipient's Phone Numbers
Day & Evening with Area Codes

 

Message & Signature 
Example: Happy Birthday, Mary.  Love, John.

 

Your Name

 

Your Phone Numbers Day & Evening with Area Codes

 

Mailing address as it appears on your credit card statement (Credit card verification program is utilized for your protection.)

 

Credit Card Type, Full Name on Card, Number, and Expiry Date Example: MasterCard, Visa, Amex

 

 

Your EMAIL Address

 

International florists toll-free 1-800-705-ROSE(7673) in USA or Canada -- Phone direct 1-250-391-4000 (country code "1") -- Fax 1-250-391-0563 (country code "1")

Flowers by fax at simonsaysroses@shaw.ca

Private information is protected and is kept strictly confidential. 

© 2001-2008 F. & D. Simon, Simon Says Roses Florists