stemzflorist

 

Additional Gifts Viewing Gallery

 
 
gift1-252
 
 
To Order... Fill Out This Form or
Call Now at 403-242-6690
 
  1. Note that your Custom Order will be a similar Custom Design as those shown here. As flowers are seasonal and change weekly, we may not be able to recreate exactly what appears in the picture, however, your creation will be similar in feel and truly unique! Identify your choice by number to give your designer a guide to creating your custom floral design.

  2. Sender Information

  3. First Name*
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  4. Last Name*
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  5. Email*
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  6. Phone*
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  7. Order Date Delivery*

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  8. Arrangement Type*
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  9. Description
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  10. Or Similar To Gallery #
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  11. Delivery*
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  12. Occasion*
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  13. Photo Number
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  14. Flower Preference/Special Instructions (120 characters max)
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  15. Recipient Information

  16. Recipient First Name
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  17. Recipient Last Name
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  18. Delivery Address (if applicable)
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  19. Recipient Phone*
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  20. Card Message
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  21. Payment Information

  22. For same day delivery, place order before 11:00am.
  23. Card Holders First Name (as it appears on the card)
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  24. Card Holders Last Name (as it appears on the card)
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  25. Credit Card Number (no spaces or dashes)
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  26. Expiry Date (mm/yyyy)
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  27. Postal Code*
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  28. Credit Card CVV (3-digit code on back of credit card)*
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  29. Total INCLUDES 5% (GST)
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  30. How did you hear about Stemz Florist & Treasures?
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  31. By Clicking on "Submit" you are hereby giving Stemz Florist and Treasures express permission to contact you by email.
  32. Antispam*
    Antispam
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  33.