DELIVERY - IN LITHUANIA 045 - You're my Heart! An exquisite looking basket in red and white colors can serve as a nice token of attention. Heart-shaped box of chocolates will be a very sweet addition. BIG - 132 EUR 25 red and whites roses, 12 limoniums, basket, oasis, heart-shaped box of chocolates STANDARD - 111 EUR 19 red and whites roses, 9 limoniums, basket, oasis, heart-shaped box of chocolates SMALL - 97 EUR 15 red and whites roses, 7 limoniums, basket, oasis, heart-shaped box of chocolates all prices are specified together with delivery

THE FORM OF THE ORDER

Date of delivery:	*
Surname, name of the customer:	*
Telephone number of the customer:	*
E-mail address of the customer:	*
Surname, name of the receiver:	*
Telephone number of the receiver:	*
The address of the receiver:	*
Structure of a bouquet, gift:	*
The text on a card (up to 10 words):
Cost:	*
(* The fields designated by an asterisk, are obligatory for filling)