Order form
Name & Surname
E-mail
Phone Number
2. Choose your special bouquet
Choose from the list
1. Kiss - €20
2. Choco Kiss - €25
3. Love - €30
4. Sweetheart - €35
5. Dear - €30
6. Starlight - €30
7. Honey - €45
8. Darling - €50
9. Paradise - €45
10. Treasure - €40
11. Freshness - €30
12. Naughty Treat - €40
13. Pleasure - €55
14. Sensational - €70
15. Elegance - €50
16. Teddy Hug - €50
Notes:
Add Chocolate Covered strawberries - €5
Milk
Dark
White
3. Choose delivery options
How do you want your bouquet delivered?
No thanks, I'll collect it myself
Yes please, normal delivery - Free
Yes please, surprise delivery - €5
Delivery address:
Date of delivery & approximate time
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Month
-
Day
Year
Date Picker Icon
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
If you chose surprise delivery, please add the following information
Name of person
Text to be inserted in the gift card (short note)
Permission to use photos online
Agree to use photos on Fruit Bouquet Malta facebook page
4. Choose your payment options
Click to edit
Cash on delivery/collection
Bank transfer
Submit
Clear Form
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