Bailey's Florist

BAILEY'S FTD

Bailey's Florist Order Form

To place your order, please fill in the following information.

Orders should be placed at least 48 hours before desired delivery date.

You must provide your telephone number!

Sender's Information

FROM:

	Mr. Ms.	Name:
	Address:

	City:	State:
	Zip/Postal Code:
	E-mail:
	Senders Home Phone:
	Senders Work Phone:
	Best Time To Call:
	Amount You'd Like To Spend:
	Desired Product:
	Delivery:Date/Instructions Enclosed.Card.Should.Read:

Recipient's Information

SEND TO:

	Mr. Ms.	Name:
	Address:

	City:	State:
	Zip/Postal Code:
	E-mail:
	Home Phone:
	Work Phone:
	Bailey's Florist Offer 2 Choices For Payment Payment with credit card -- We will contact you for the credit card information. If you order 10 days ahead of time we will secure your order with a credit card. You can then send us a check for the total amount - we will contact you for this information.