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Norfolk Island Flowers Delivery Order Form at www.simonsaysroses.com/norfolk-flowers 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 1-800-705-ROSE(7673) for a 24 hour live order desk in the U.S.A. and Canada 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. |
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Item Order Code and Price Example: (ARMAWS $78.00) for a small wrapped bouquet. |
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Delivery Date Example: March 29, 2001 (allow from 1 to 3 business days...no Sunday deliveries) |
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Recipient's Name |
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Recipient's Full Address (Street Address, Country, Province or State, Zip or Postal Code) |
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Recipient's Phone Numbers Day & Evening with Area Codes |
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Message & Signature |
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Your Name |
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Your Phone Numbers Day & Evening with Area Codes |
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Credit Card Type, Full Name on Card, Number, and Expiry Date Example: MasterCard, Visa, Amex |
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Your EMAIL Address |
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Your FAX Number |
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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")-- Email inquiries @
Norfolk Island florists - simonsaysroses. Private information is protected and is kept strictly confidential. The price you choose in Canadian funds is the total price you pay.