Order Flowers Perth, Australia, Buy Fresh Flowers, Petal at Southlands Florist - Order

Petal at Southlands Florist

Your Order

Name	Size	Price

Sender Details

Full Name:
Street Address:
Suburb:
City:
State:
Postcode:
Country:
Phone:
Fax Number:
Email:

Recipients Details

Pickup Delivery (add cost to order)
Date of Pickup/Delivery: \| \|
Delivery charges will vary depending on the delivery address and the product ordered. You will be contacted by Petal prior to processing payment regarding any additional costs incurred. Generally international orders incur a Aus$15 delivery charge with interstate orders incurring a Aus$11 delivery charge. Orders around the Perth metropolitan area incur a charge dependant on the proximity of the delivery address to Willeton. Preferably delivery orders need to be placed 8 hours in advance. For urgent deliveries please contact us on 9332 4022
Preferred time of Pickup/Delivery: Morning Afternoon
Location Delivery Fees:

Recipient Information

Recipients Name:
Location:
Company:
Street Address:
Suburb:
City:
State:
Postcode:
Country:
Phone:
Card Message: (Optional, Included free of charge)

Payment Details

	Credit Card (we will phone you for your details)
	Eftpos (on pickup)
	Cash (on pickup)
You may also print this form, fill in your credit card details in the spaces listed below and fax it to us on (08) 9332 4646.

Cardholders name:	...............................................................
Expiry Date:	...............................................................
Credit Card Number:	...............................................................
Cardholders Phone Number:	...............................................................

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