MLF ISLAND DELIVERY ORDER FORM            2011

Card Holder Name      

Phone

Fax     

E' mail    This field is very important, do not let it blank   

Card Holder address     

Note: Card Holder's address must be  exact match with the Card Holder's billing address, otherwise Card will be decline.

Spring Mix Bouquet $29 - $150            Tropical Mix Bouquet: $37 - $150             Funeral Wreath $150 - $400

Delivery Date                                       Time: on or before         

 

                                                                    

Note: Delivery Service Charge: Minimum $7.50 for Spring mix or Tropical Bouquet .

                                                 Minimum $9.50 for Hawaiian Leis. 

           Our designer will contact you  with in 0.5 to 1.0 hour after your Form Submission.