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ORDER FORM

Sorry for your inconvenience, but please enter each of the following items and click the “Confirm” button to proceed.
Items marked with a are required items, so be sure to enter them.

    Enter the delivery date and time

    Please enter the desired delivery date and time. Please place your order by 15:00, two days before delivery.
    For subsequent orders, please contact us by phone. * We cannot accept orders on Sundays and public holidays.

    Delivery date and time
    Delivery date and time

    year
    month
    day
    o'clock

    Enter the desired product

    Please enter the desired product.

    Desired product information
    Product of your choice


    Budget

    Yen (excluding tax)

    Applications

    message card

    Message content

    Remarks

    Destination information

    Please enter the delivery address and date and time of the flowers.

    Shipping information
    Name (company name)

    Postal code*

    Street address

    mail address

    phone number

    Enter customer information

    Please enter the information of the giver.

    Giver information
    Name (company name)

    Postal code*

    Street address

    mail address

    phone number

    Enter payment method

    Finally, please enter the payment method.

    About payment method
    Payment method

    Thank you for filling in many items.

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