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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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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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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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PLEASE LET US KNOW IF THE BABY
IS: |
BOY |
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GIRL |
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ORDER NEW BORN ARRANGEMENTS |
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IT'S
A GIRL |
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BABY
BOY BOUQUET |
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PINK
OPULENCE |
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MY
SWEET TEDDY |
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NEW
BABY JUBILEE |
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CONGRATULATIONS |
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WELCOME
BABY |
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BABY
GIRL BOUQUET |
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I'M
HERE |
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BRIGTH
& BEAUTY
DAY |
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BEAUTIFUL
LIFE |
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LOVE
IN BLOOM |
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CELEBRATING
BABY BOY |
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SWEET
GIRL |
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NEW
BABY BOY |
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BEST
WISHES |
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BABY
GIRL BASKET |
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BABY
BIG DAY |
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SWEET TEDDY GIRL
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BABY'S FIRST ROSES
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NEW
BORN ROSES |
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SWEET
TEDDY BOY |
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PRINCESS GIRL |
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BEAUTIFUL BABY GIRL |
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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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