DELIVERY - IN THE WORLD 064 - At mournful o'clock This small funeral wreath to a coffin of the dead person though partly will replace you in that mournful o'clock, when you can not be present. 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)