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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

Phone number

Enter customer information

Please enter the information of the giver.

Giver information
Name (company name)

Mail address

phone number

Enter payment method

Finally, please enter the payment method.

About payment method
Payment method

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