Gift Certificate Order Form

You can order a gift certificate for any denomination you wish over $10.00 and we will
fill out the certificate with your personal message and mail it to the recipient.
Another option, in case you are not sure of the recipients mailing address, we can keep the gift certificate on file here at Rose Floral and contact the recipient either via e-mail or telephone to inform them of their gift.

There are two ways you can place a floral order with us:

• Call us toll free at 1-800-272-0715 Or
• Fill out the form below.

A word on security At Rose Floral we take all major credit cards. This information goes straight to Rose Floral personel via e-mail and is not stored on any computer or server. Also, no customer information is dispensed in any way to any organization, all information you give us is strictly confidential. If you still feel uncomfortable about transmitting your credit card number to us, I would like to invite you to call us toll free at the number given above.

Sender Name   
Daytime Phone 
E-mail Address

Credit Card     Visa MasterCard American Express Discover Carte Blanc Diner's Club Expires /
Card Number     

Value of Gift Certificate $

Mail the Gift Certificate
Call the recipient on the telephone
Send an E-Mail to the recipient

Recipient Name
Company       
Street        
Apt/Suite/Room
City, State   
ZIP Code      
Phone         
E-Mail        
(if sending via E-Mail)

Message on Card
              
Comments (optional)
              


If you would like an invoice faxed to you,
enter you fax number here: