TERRA FLOWERS SYMPATHY AND FUNERAL 2015 PURCHASE ORDER FORM

HOME     EASTER     MOTHER     ROMANCE     FUNERAL     BIRTHDAY     ANNIVERSARY

     
        PLEASE PROVIDE SENDER INFORMATION:
First Name:   

Last Name:   

Address:   

Zip Code:   

City:   

State:   

Other Country:   

Home phone:   
Work phone:   

Cellular:   

Email:   

        PLEASE PROVIDE INFORMATION ABOUT WHO PASS AWAY:
First Name:   

Last Name:   

Home:   

Funeral home:   

Funeral Home name:   

Ceremony time   

Address:   

Zip Code:   

City:   

State:   

Other Country:  

Home phone:  
Funeral home phone:  
        ORDER OUR FUNERAL AND SIMPATHY ARRANGEMENTS:    
 

COLOR FULL ST. SPRAY   

RED HEART STAND. SPRAY   

PATRIOTIC STAND. SPRAY   

ANGEL CROSS   

CROSS ARRANGEMENT   

WHITE RED CROSS   

HOPE AND HONOR WREATH   

LOVING STANDING HEART   

SWEET STANDING SPRAY   

STANDING WREATH YELLOW   

STANDING WREATH WHITE   

STANDING WREATH PINK   

SPRING STANDING SPRAY   

ETERNAL REST HEART   

STANDING SPRAY   

PEACE OF LILY   

PEACEFUL MEMORIES   

TREASURED MEMORIES   

SPRING REMEMBRANCE   

BASKET OF FAITH   

GENTLE COMFORT BASKET   

HOPEFUL PINK BASKET   

COLOR FULL BASKET   

GLORY AND GRACE BASKET   

VIVID SENTIMENTS   

LAVENDER REMI. BASKET   

PINK EXPRESSION BASKET   

WHITE EXPRESSION BASKET   

YELLOW EXPRESSION BASKET   

FRIENDSHIP BASKET   

EVERLASTING LOVE BASKET   

GRAND SENTIMENTS BASKET   

ETERNAL HOPE BASKET   

SPATHIPHYLLUM PLANT   

SPATHIPHYLLUM PLANT   

FAITHFUL FERM   

GRACEFUL TRIBUTE BASKET   

BLOOMING ROSES BASKET   

HEAVENLY WHITE RED BASKET  

HEAVENLY PINK BASKET   

CONDOLENCES ROSE VASE   

SYMPATHY BASKET    

       
        ENTER YOUR CARD MESSAGGE        ENTER YOUR BANNER MESSAGGE

       
 

DATE OF DELIVERY   

 
        COMMENTS OR SPECIAL INSTRUCTIONS    

       
        PAYMENT INFORMATION    

PLACE YOUR ORDER - WE WILL CONTACT YOU BY PHONE TO COLLECT YOUR PAYMENT INFO

PONGA SU ORDEN - LO LLAMAREMOS PARA PEDIR LOS DATOS DE SU TARJETA

 

Other Method     

  
 

Credit Card     

 
 

Card Number     

   
 

Credit card Secure Code     

(3 Numbers - see back of your Card)
 

Cardholder Name     

   
 

Cardholder Billing address      

Complete of Zip code
 

Expiration Date     

(Format MM/YY)

 
       

We will contact you via e-mail or phone shortly with your order confirmation.

Please verify your information carefully before submitting for ordering.

       

       

       

Author: Terra Flowers & Gift of Miami.
Copyright 2003 Terra Flowers & Gifts of Miami, Inc. All rights Worldwide Fully reserved.
Revised: febbraio 04, 2015

Terra Flowers Online of Miami Florida USA " Flowers For All Occasions - Wedding Specialist"
7921 S.W. Bird Road (40 ST), #39, Miami, FL 33155
Telephone: 305-264-5999 | Facsimile 305-267-2373

Email: info@miamionlineflowers.com

Copyright (c) 2002 - 2015 Terra Flowers Gifts Online of Miami, Inc.. All Rights Worldwide Fully Reserved

 

Toll free 1- 800- 376 9340 Opened 7 Days a Week

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Terra Flowers of Miami offers premium delivery to house, hospital, office, funeral homes, in all Miami...

WE DELIVER WORLDWIDE

Terra Flowers of Miami offers premium delivery to house, hospital, office, funeral homes, in all Miami...

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Terra Flowers of Miami offers premium delivery to house, hospital, office, funeral homes, in all Miami... This web site uses a Secure Payment System !!!!!!!!!!