DELIVERY - IN THE WORLD 048 - I will remember you! This arrangement will help you express your condolences and grief and share it with your relatives. BIG ... STANDARD - 81 EUR 10 red carnations, 6 gypsophilas, greens, black ribbon SMALL ... 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)