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Sender			Recipient
Sender's Name			Recipient's Name

Contact Person if other than Sender			Best Phone Number:

Email Address:	Phone Number:		Street Address:

Street Address:			(if you are sending to a business or apartment, please type its name under 'special instructions')

City	State	Zip	City	State	Zip

Bouquet and Delivery
Lush			Delivery Zone: (click here for more info) (Delivery fees for orders for delivery outside of Boulder City limits will vary depending on the distance. We will contact you with a price quote prior to processing your order.)

Fresh			Delivery Date

Playful			Add-Ons! (Click here to see Add-ons page) (cannot be ordered without flowers)
			Plush Animals
Diva
			Balloons
Eclectic			x
			Chocolates/Vases
Femme
			Bloomin' Cards
Joy

Floral Art			Plants

I understand: Flower colors and varieties change daily. We will fill your order as close as possible to the photo. Our designers reserve the right to substitute similar items to ensure highest quality. Some addresses in Boulder, while listed with Boulder zip codes, may lay outside Boulder city limits. These addresses may incure a higher delivery fee; in such a case you will be contacted.
Card Message (Please add name you would like card signed):

Special Instructions:

Orders received after 2:00 may not go until the next day, please call for immediate assistance. Orders must be placed by noon on Saturday and we are closed on Sunday. We do accept Discovercard! Timed deliveries cannot be guaranteed. Please call for timed delivery options. Any special flower requests, please add to special instructions!