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Flower order request
Thank you for your interest. Please fill in the form below in order for us to process your order. Our flower department contact details are
ordersfreshlineflora@gmail.com
or
0826169261
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Email
*
Your email
Are you a new or existing customer?
*
I am a new customer
I am an existing customer
What is the item you would like to order?
*
Please indicate below, what you would like to order
Mixed bunch / Country bunch
Arrangement in basket
Arrangement in glass vase
Arrangement in terracotta pot
Arrangement in ceramic pot
Arrangement in wooden box
Other:
Required
What colours would you like us to use in your order?
Your answer
What is the budget for your order?
(Please note that local delivery and a notelet is R85)
*
Your answer
Your name
*
Your answer
Your phone number
*
Your answer
Your email address
*
Your answer
Recipient name
Your answer
Recipient phone number
Your answer
Recipient delivery address
Your answer
Date of required delivery / collection
*
MM
/
DD
/
YYYY
Message for notelet
Your answer
Please note that no orders will be processed until payment reflects in our bank account. Payments are welcome by EFT, Zapper or card/cash payments on collection (for existing customers only).
Banking details:
Capitec Business
Current account number 1050913175
Branch name Durban
*PLEASE USE YOUR NAME AND DATE OF ORDER FOR REFERENCE (or customer code for existing customers)
THANK YOU
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