Order Form
How did you hear from us
Please Select
Google
Yahoo
Sulit
Facebook
FlowersDeliveryPh Website
Blog Post
Instagram
Twitter
Referral
Others
Customer Information
Customer Name
*
Customer Cellphone
*
Customer Roaming #
*
For International Customers
Customer Email
*
Customer Current City Location
*
Customer Birth Month and Day
*
Order Purpose
*
Please Select
Happy Birthday
Happy Anniversary
Happy Monthsary
I'm Sorry
Thank You
Congratulations
Happy Mother's Day
Get Well Soon
Happy Child Birth
Missing You
Valentine's Day
No Special Occasion
Others
Recipient Information
Recipient Name
*
Recipient Cell #
*
Recipient Alternative Phone #
*
Recipient Birth Mo / Day
*
Anniversary
*
Write N/A when not applicable.
Purchase Order
Order Flowers. Indicate Product Name
*
Flower Color
Others
Order Cake
Please Select
Option 1
Option 2
Option 3
Order Chocolate
Please Select
Ferrero Rocher 5s
Ferrero Rocher 16s
Ferrero Rocher 24s
Ferrero Rocher Heart Shaped
Toblerone 100g
Others
Order Stuffed Toy
Please Select
Option 1
Option 2
Option 3
Delivery Date
Delivery Date
*
-
Month
-
Day
Year
Date Picker Icon
Requested Time of Delivery
For Valentine's Day, delivery time is fixed at 8am-5pm. For Ordinary Days you can pre-select the time period.
For Work Address Delivery
Complete and accurate delivery address is critical for successful delivery.
Name of Company
Department
Position
Floor # and Name of Building
Street Address
Barangay
City
Province
Municipality
Other Location Infomation
Landmark
Upload Map (Optional)
For Home Address Delivery
Complete and accurate delivery address is critical for successful delivery.
House # / Unit #
Street Address
Building Name and Floor #
Subdivision
Purok / Zone
Barangay
City
Municipality
Province
Other Location Information
Landmark
*
Upload Map (Optional)
Card Message
To:
*
Message in Card ( limit to 50 characters)
*
From:
*
Disclosure
*
Please Select
Yes, you can tell who sent the flowers/gifts
No, please don't tell who sent the flowers/gifts
Other Info
Customer Comments
Date Customer Will Pay
*
-
Month
-
Day
Year
Date Picker Icon
Mode of Payment
*
Please Select
BPI Deposit
BDO Deposit
Metrobank Deposit
PayPal
Credit Card(Visa Mastercard Amex)
Debit Card (Visa Mastercard Amex)
Western Union
MoneyGram
Cebuana
LBC Pera Padala
Smart Money Padala
GCash
Delivery Terms and Conditions
I have read, understand and agree to the Delivery Terms and Conditions written on the link below- https://www.facebook.com/notes/flowersdeliveryph/delivery-terms-and-conditions/608978599171342
*
Yes
I have reviewed the details above
*
Yes
Submit
Should be Empty: