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FAX Order Form |
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Print this form and FAX your order to (916) 294-0600 |
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Deliver to: _________________________________________________________ Address: _________________________________________________________ City/State: _________________________________ Phone: ________________ Card Message: ____________________________________________________ __________________________________________________________________ __________________________________________________________________ Occasion:
__________________________________ Colors and/or flowers to include or
exclude: ______________________________ If requested flowers unavailable note
second choice Person ordering: _____________________________________________________ Address: ___________________________________________________________ City/State: _________________________________ Phone: __________________ Credit Card (VISA, MC) _____________________________ Credit Card # ____________________________ Expiration Date: ______________ |
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Pick up
date/time: _________________ or 
