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Order form
Please fill in the form below.
Your order
Reference number of the flowers/present
On what date should we deliver it?
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January
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Juin
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September
October
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December
2014
2015
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2019
2020
Payment method
Paypal
Western Union
Moneygram
Rapida
Personal information
Your first name
Your last name
Your address
Your postal code + town
Your country
Your e-mail
Where should we send the flowers or the present?
First name of the receiver
Last name of the receiver
Address of the receiver
Postal code and town of the receiver
Country of the receiver
Telephone number of the receiver
Personal message on the card
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Special wishes / remarks
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