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 Flowers Of Paradise  

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to confirm and arrange payment

Name:
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Address:

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What type of arrangement would you like?

Bouquet

Basket

Boxed

Gourmet Basket - Fruit/Chocolates

Roses

Get Well Soon

New Born Girl

Sympathy

New Born Boy

Occasion for Sending Flowers

Preferred Colours

Preferred Flowers

Value you wish to spend

Do you require delivery?

Yes

No

If yes what is the address of delivery

If yes what is the date of delivery

Name of Recipient

How do you wish to pay?

Are you a trade union member?

Yes

No

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