PRINT AND MAIL THIS FORM BY FAX NUMBER: 968 13 72 49 TO CONFIRM YOUR ORDER

 

Need to send the number of your credit card, expiration date and security number

 

 

Your name

       

Your Telephone

 

Your Fax number

 
 

Shipping data

 

Delivery date

       

Name

 

Address

 

Telephone

 

Fax

 

Card Message

 
 

Type of Work

 varied flower bouquet   30€      
  flower arrangement         45€      
  plant center                      50€      
         
  OUT FOR THE DELIVERY OF BELONES WILL RETAIL FOR 12 €