Ordering Information
First & Last Name:
Street Address:
City:
State:
Zip:
Phone Number:
Your Email:
URL:
Ribbon Color
white
off white
Size of EZ Bouquet
Small - holds
11 roses $14.00 each
Medium - holds
16 roses $16.00 each
(Use full size open roses for the best results complete instructions with order)
Patent Pending
Please do not copy the image above
(Thank you)
Quantity:
Total Amount?
Add S & H $5.00
Va. add $4.50 tax
Total Amount Enclosed?
Any other comments or questions please note below:
(Please make a copy of this order form and send with your payment. )
Money orders
EZ Bouquet
1350 Beverly Rd #219
Mclean, Va. 22101
Make Checks Payable To:
Will get your order
out faster.
Allow 2 to 4 weeks delivery
(703)-281-5050
Bouquet will be sent out
once check clears.
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ezbouquets
E Z Bouquet
Cares about their customers.
1999 All Rights Reserved.
