Rose Orders | mysite

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ROSE ORDER

NAME

DATE

PHONE

EMAIL

PAYMENT METHOD

CREDIT CARD INFO:

NAME AS IT APPEARS ON CARD

EXPIRATION

CC NUMBER

3 DIGITS ON BACK

ZIP CODE

DELIVERY OPTIONS

PLEASE DELIVER TO

ADDRESS (city, state, zip)

TOTAL NUMBER OF ROSES

COMMENTS

CLIMBERS

DAVID AUSTIN

HYBRID TEAS/FLORIBUNDAS

MINIATURE TREES

SHRUBS/MINIS

CLIMBERS

DAVID AUSTIN

HYBRID TEAS/FLORIBUNDAS

MINIATURE TREES

SHRUBS/MINIS

All roses will be charged sales tax and any applicable fees for delivery.

Please include an email address for electronic receipt.

THANK YOU!

You will receive a confirmation email shortly.

Orders placed after 4:00 will be processed the next business day.

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