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Your Shop Logo Here
1-800-234-5678
This is a Secure Site
Secure Site Seal
If you prefer, fill in the information below and Fax it to us at 1-416-234-5678
or call us at 1-416-345-6789 with your credit card details.
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Delivery Instructions
Please Deliver to:
Delivery Address:
Delivery City:
Delivery Postal Code:
Delivery Province:
Delivery Phone:
Delivery Month:   Delivery Day: 
NO SUNDAY OR HOLIDAY DELIVERIES

Item Requested: 
For Holiday Featured Specials** Please insert Name and Arrangement # in Special Instructions 
Size:     Order Amount: 
Please note Minimum Order is $35.00 before delivery charges and taxes

Please use the Personal Currency assistant 
to convert to Canadian currency.

The Personal Currency Assistant™

Special Instructions:

Card Message: (Don't forget to sign your card!)



Billing information
Invoice Name:
Billing Address:
Billing Province/State:
Country & Postal Code:
Billing E-mail:
Billing Phone Number:
Office or Cell Number:


 
Billing Credit Card Type:
Billing Credit Card Number:
Expiry Month: Billing Expiry Year: 

Before submitting your order please see Special Notes below
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Special Notes:
NO SUNDAY OR HOLIDAY DELIVERIES

A delivery charge of $6.95 will be added to all orders within our local Delivery area.

Applicable taxes are: Ontario 7% GST and 8% PST, Maritime Provinces 15% HST, (Quebec will reduce the value of flowers sent by the amount of their Provincial taxes)

Orders for all other cities in Canada will be assessed a $6.00 service fee as well as the $6.95 delivery charge.

5% Discount applies ONLY to orders in our local delivery area.

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If you require more info please call 800-263-5459 (ask for John) or e-mail me at ajvb@a1florists.com