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PLEASE PROVIDE SENDER INFORMATION |
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First Name:
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Last Name: |
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Address: |
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Zip Code:
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State: |
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Other
Country: |
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Home phone:
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Work phone:
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Cellular: |
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Email: |
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PLEASE PROVIDE RECIPIENT INFORMATION |
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First Name:
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Last Name: |
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Home: |
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Business:
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Address: |
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Zip Code:
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City: |
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State: |
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Other
Country: |
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Home phone:
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Work phone:
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Cellular:
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Email:
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ORDER YOUR 100% NATURAL PROM CORSAGE - BOUTONNIERE - WRISTLET |
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WHITE
ROSES WRISTLET |
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WHITE
ROSE BOUTONNIERE |
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RED
ROSES BOUTONNIERE |
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RED
ROSES WRISTLET |
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SONGS
OF THE HEART WRISTLET |
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LAVANDER
ROSES WRISTLET |
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COOL
BLUES WRISTLET |
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SWEET
PASTELS WRISTLET |
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SUNSHINE
ROSES BRACELET |
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FUCHSIA
ORCHIDS WRISTLET |
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EXOTIC
ORCHIDS ARMBAND |
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PURPLE
DENDROBIUM BOUTONNIERE |
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ROSES-ORCHIDS
CORSAGE |
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CYMBIDIUM
ORCHID CORSAGE |
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WHITE
DENDROBIUM CORSAGE |
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PURPLE
DENDROBIUM BOUTONNIERE |
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WHITE
SKY BOUTONNIERE |
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HARMONY
CORSAGE |
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PEACH
ROSES BOUTONNIERE |
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SWEET
PROM CORSAGE |
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CUTE
DANCE CORSAGE |
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PROM
EMOTION CORSAGE |
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BEAUTIFUL
DAYS |
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BALLOONS |
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CHOCOLATES |
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ORCHIDS |
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SPECIAL
CARD |
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ENTER YOUR CARD MESSAGGE |
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DATE
OF DELIVERY |
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COMMENTS OR SPECIAL INSTRUCTIONS |
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PAYMENT INFORMATION |
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PLACE YOUR
ORDER - WE WILL
CONTACT YOU BY PHONE TO COLLECT YOUR PAYMENT INFO |
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PONGA SU ORDEN
- LO LLAMAREMOS PARA PEDIR LOS DATOS DE SU TARJETA |
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Credit Card |
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Cardholder Name |
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Card
Number |
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Expiration Date |
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(Format MM/YY) |
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We will contact you via
e-mail or phone shortly with your order confirmation. |
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Please verify your
information carefully before submitting for ordering. |
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