ORDER FORM

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: Applications＊; Color＊; Type＊

Bouquet Arrangements Leave it up to florist.; Budget＊

Yen (excluding tax); 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＊

Bank transfer (We will send you the payment destination by email later) Credit card (We will send you the payment URL by email later) Visit payment Collecting money (only when receiving the orderer in the delivery area) Invoice

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