Celebrations by Kathleen
Fax Order from Web Site
To place a fax order:  print this page, complete the requested information, and fax to (781) 447-0703.
Order Date:  ________________________
BOUQUET INFORMATION:
Type of occasion:   __________________________________________
Delivery Date:   __________________________________________
Type of Arrangement:   __________________________________________
Special Request:   __________________________________________
Message:   __________________________________________
  __________________________________________
  __________________________________________
(If further space is needed, please use separate piece of paper.)                  
DELIVERY INFORMATION:
Name: __________________________________________________
Address1: __________________________________________________
Address2: __________________________________________________
City: __________________________________________________
State: _______________     Zip: ____________________
Telephone: ________________________ (required for delivery)
SENDER'S INFORMATION:
Name: __________________________________________________
Address1: __________________________________________________
Address2: __________________________________________________
City: __________________________________________________
State: _______________     Zip: ____________________
Telephone: ________________________ (required)
Upon receipt of your fax, we were call to confirm order and payment options.
Credit Cards are NOT accepted.