DELIVERY - IN THE WORLD 063 - Condolence This small funeral wreath will transfer your condolences in case of death of the close man. BIG ... STANDARD ... 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)