Simon Says Roses Florists
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To process your order quickly & accurately, please review &
print this page as this information will be needed to complete your order. Then call… Toll free: 1-800-705-ROSE(7673) in 1-250-391-4000 from other countries Fax: 1-250-391-0563
International florists & flower catalogues not in Canada or the
U.S. |
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Item Order Code from our Simon Says Roses
web site (please include colour theme desired, if applicable) |
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Requested Delivery Date (minimum 24 business hours) |
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Recipient's Name |
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Recipient's Full Address (City, State, Country, Zip/Postal Code, Name of Business if Business Delivery, & Address) |
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***Recipient's Phone Numbers (home/work
and or cell) (absolute requirement) |
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Message & Signature (maximum 25 words.) |
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Your Name |
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Mailing address where your credit
card bills are sent. (For your protection, we use
address verification to make sure your card is not stolen) |
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Credit Card Type (Visa, Mastercard,
American Express, or Discover) Card Number, Expiry Date, and Full Name as it
appears on the card. |
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Your Phone Numbers Day & Evening with Area Codes |
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Your EMAIL Address |
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Your FAX Number |
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International florists & flowers not in Canada
or the U.S.
Toll-free 1-800-705-ROSE(7673) in the
Private information is protected and is kept strictly
confidential.
© 2001-2009 F. & D. Simon, Simon Says Roses Florists