Attributes in bold are required.
Delivery Date
(month & date):

Type Card Message
(message needs to fit on a 3" x 2" enclosure card):

List Special Instructions concerning
delivery date/time or flower choices/substitutions:
Choose Flower Color:
*Please choose a "2nd Choice" flower color:
  - with 16 piece Moonstruck Chocolates (add $39.95)
  - with 6 piece Moonstruck Chocolates (add $14.95)
* Note: Flower availability varies throughout the year.
Similar flowers will be substituted when necessary.
Ordering several days ahead helps to ensure flower availability.
If the quality of certain flowers is not up to our standards
or will not hold up due to the weather we will
notify you. For example, tulips are very
susceptible to heat.
Please call 1 800 875-9193 if you have any concerns or questions.
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