Order Form

 Sender Information

Name:

Address:

Phone No.:

E-mail:

　

 Recipients Information

Name:

Delivery Date/Time:

Address:

Phone:
　 　 　 　

 Flowers

Code No. Flowers Desire Price

　 　
   Card Message
　
　 　
    Payment Method

 By AE Card

 　 　

Credit Card No.:  

Full Name of Card Holder: 

Expiry Date:  

Approval Code: 
　 　 　

          By Direct Bank-in

 　
           A) Hong Kong Bank        A/C no.: 110-6-042482
           B) Bank of China              A/C no.: 012-6991-000602-3
　 　 　

  By Cheque

 　 　
        Billing Address: