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florist to florist order form

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					                                                                                 P.O. Box 810
                                                                Eagle Point, OR 97524-0810
                                                                     Toll Free: 877.231.2478
                                                                           Fax: 877.213.7820

                                             10:
Today’s Date                  Time             Employee Name


SENDING FLORIST INFORMATION
Shop Name
Shop Code #                          Spoke With
Phone Number                         Fax Number



RECIPIENT INFORMATION
Delivery Date                        Delivery Day
Recipient Name                       Phone Number
Company Name
Address
City                                 State                     Zip



PRODUCT INFORMATION
Item 1                                                     Amount $


Item 2                                                     Amount $

                                                                        Occasion
Card Message                                                     ❏ Birthday
                                                                 ❏ Anniversary
                                                                 ❏ Congratulations
                                                                 ❏ Baby
Special Instructions
                                                                 ❏ Sympathy
                                                                 ❏ Thinking of You
                                                                 ❏ Get Well
                                                                 ❏ Other_______________



FILLING FLORIST
Shop Name
FSI Shop #                           Spoke With
Phone Number                         Fax Number
Address
City                                 State                     Zip

				
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