Cyprus Flowers Order Form

To order flowers and plants online please fill in the form below.

To order using a fax, please fill in this form, print it and fax to 00357 24 627489

or if you are member please use this form

If you prefer to send your details by post, just print the form and send to PO Box 40218 Larnaca, Cyprus - please think well ahead.
phone us on 00357 24 665408

Please provide your contact information:

Name
Title
Organization
Work Phone
Home Phone
FAX
E-mail

Please provide the contact information for the person/s to whom the flowers are to be delivered.

Name
Title
Organization
Street address
Address (cont.)
City

Zip/Postal code
Country
Work Phone
Home Phone
* Mobile Phone	A phone number is required - either will do

Choose one of the following options:
Please see an idea of the options here

Delivery charges, please select your location.

If your location is not in a main town and is not shown above then the delivery charge may vary. If you wish us to inform you of the delivery charges for that area before delivery, then do not tick the box below.

If you want us to deliver anyway, before we inform you - tick in the box.

	If you chose the "Other" option, please enter details below about what you want. Also use this box if you want to send something not listed or cakes and sweeties chocolates, gifts or bubbly as well. (Please note * this is an added service, we do not just deliver chocolates etc, they must be accompanied by a flower order unless you are a corporate client or have an arrangement.)
	Enter the date you wish for delivery.
	If recipient is not resident in Cyprus, please give their departure date.

Please enter the message that you would like written on the card.

Please provide the following ordering information:

	BILLING
Credit card
Password
Card number
Expiration date
Enter the last 3 digits on the back of the card
Amount Authorised

Please enter any other information you feel to be important or helpful about this order. Also enter if you would like a gift such as chocolates, champagne, wine or children's birthday gift to be sent along with your order, and the amount you would like to budget for this gift.

And finally, please put the letters and numbers you see here into the space below, exactly as you see them. (This is to discourage automated spam generating machines!)