rosefloral.com - Six Premium Roses

To order this, simply fill out the form below or call 1-800-272-0715

Rose Color Choice

Please select a first and second choice for your roses

First Choice:                 Second Choice:
Red                         Red
Yellow                    Yellow
Pink                        Pink
Peach                     Peach
White                     White

	Dress It Up! For that extra touch
Mylar Balloon - Add $3.00 Small Plush Animal - Add $8.00 Medium Plush Animal - Add $14.00 Small Box of Chocolates - Add $8.00 Large Box of Chocolates - Add $14.00

Add A Bag Ladie's Tea To Your Order "Sophisticated yet whimsical"
Tea Selection: Click on a description for more details	Pouch (5 bags) $3.00	Box (25 bags) $11.00
Morning's First Cup Afternoon's Tea Evening's Comfort My Friend Happy Birthday Thank You

Recipient Information:

Recipient Name:

Company:

Street:

Apt/Suite/Room:

City, State:

ZIP Code:

Phone:

Delivery Date:

Your Information:

Name:

E-mail Address:

Daytime Phone:

Credit Card:
Expires /

Card Number:

If you would prefer not to transmit your card number, please leave this blank and we will call you for this information....please be sure not to forget to give us your daytime phone number.
House Accounts: If you would like us to bill your established house account, select "House Account" in the Credit Card box and leave the expiration and card number boxes blank.

Message on Card (don't forget to sign it):

Comments (optional):

You will receive an invoice via email automatically, but if you would also like an invoice faxed to you, enter your fax number here:

Check this box if you would like your email address added to our list.
We send out specials, free flower offers, and sale announcements about once or twice a month

Six Premium Roses

$39.95 (Excluding Feb 3 to 18)
$59.95 Feb 3 to 18

To order this, simply fill out the form below or call 1-800-272-0715

Rose Color Choice

Dress It Up!

Recipient Information:

Your Information:

The Last Step

Six Premium Roses

$39.95 (Excluding Feb 3 to 18) $59.95 Feb 3 to 18

To order this, simply fill out the form below or call 1-800-272-0715

Rose Color Choice

Dress It Up!

Recipient Information:

Your Information:

The Last Step

$39.95 (Excluding Feb 3 to 18)
$59.95 Feb 3 to 18