Flowers by Linda

Complete this form for use with a phone or fax order. For online order submission please click on the Order Flowers link.

Phone (408) 287-5771
FAX (408) 287-5779
ORDER INFORMATION
Full Name
Address
City
State
ZIP Code
Country
Daytime Telephone
Evening Telephone
E-mail Address
Description

*If you picked other, describe arrangement
Card Message

SHIPPING ADDRESS (if different from above):

Full Name
Address
City
State
Country
ZIP
Delivery Phone Number
Delivery date
Special Shipping instructions


 PAYMENT INFORMATION

Name on Credit Card

Type
Number

Expires

Print the completed form and then fax or phone your order.

Prices do not include sales tax or delivery charges.