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




ORDER FORM |
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| 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 |
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| 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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