Untitled Document

PLACE WHERE YOU ORDER YOUR FLOWERS FOR THOSE YOU KNOW FROM THE PEOPLE ON THE GO!

ORDER FORM
Receiptants Name:
Address:
City, State Zip
Phone Number:
Item you want to order:
Cost of Item(Plus $7.99 Delivery):
Occasion:
Card Message:
Date to be Delivered:
Sender's Name:
Sender's Address:
City, State Zip:
Payment BY:
Card Number:
Expiration Date:
VPN Number on back of card:
All orders have a delivery charge of $7.99 ----Back to Home----- Print Form
We thank you for your order and look forward to working with you again. Please print out and fax your order to: Critser's Flowers and Gifts P.O. Box 257 59 West Washington St Morgantown, IN 46160 Phone: 812-597-4551 Fax : 812-597-5744

ORDER FORM