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:                 
Occasion:                 
Card Message:                 
Date to be Delivered:                 
Sender's Name:                 
Sender's Address:                 
City, State Zip:                 
Phone No:                 
Payment BY:
MC, Visa, Disc, AE
                
Card Number:                 
Expiration Date:                 
VPN Number on back of card:                 
Cost of Item: $                
Delivery Charge: $7.99                
Indiana Tax 7%: Cost X 7%=                 
Order Total: $                
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
Mail: 7254 West 700 South
Location: 59 West Washington St
Morgantown, IN 46160
Phone: 812-597-4551
Fax : 812-597-5744
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