Please specify actual street location for delivery, as well as recipient's phone number.
UPS does not deliver to post office boxes.
Please be certain that your addresses are correct.

Recipient#1
Item
Name:
Phone:
Street Address (No P.O. Boxes)
Suite/Apt.
City:
State:
Zip:
Your gift card message:

If ordering a wreath hanger for this recipient, please specify color:

Brass Color         Red         Clear

Centerpieces are decorated with red candles and red velvet bows
unless you specify one of the following:

Candle color: White         Blue

Bow color: White Satin          Blue Velvet          Burgundy Velvet

 

Recipient#2
Item
Name:
Phone:
Street Address (No P.O. Boxes)
Suite/Apt.
City:
State:
Zip:
Your gift card message:

If ordering a wreath hanger for this recipient, please specify color:

Brass Color         Red         Clear

Centerpieces are decorated with red candles and red velvet bows
unless you specify one of the following:

Candle color: White         Blue

Bow color: White Satin          Blue Velvet          Burgundy Velvet

 

Recipient#3
Item
Name:
Phone:
Street Address (No P.O. Boxes)
Suite/Apt.
City:
State:
Zip:
Your gift card message:

If ordering a wreath hanger for this recipient, please specify color:

Brass Color         Red         Clear

Centerpieces are decorated with red candles and red velvet bows
unless you specify one of the following:

Candle color: White         Blue

Bow color: White Satin          Blue Velvet          Burgundy Velvet

 

Recipient#4
Item
Name:
Phone:
Street Address (No P.O. Boxes)
Suite/Apt.
City:
State:
Zip:
Your gift card message:

If ordering a wreath hanger for this recipient, please specify color:

Brass Color         Red         Clear

Centerpieces are decorated with red candles and red velvet bows
unless you specify one of the following:

Candle color: White         Blue

Bow color: White Satin          Blue Velvet          Burgundy Velvet

 

Recipient#5
Item
Name:
Phone:
Street Address (No P.O. Boxes)
Suite/Apt.
City:
State:
Zip:
Your gift card message:

If ordering a wreath hanger for this recipient, please specify color:

Brass Color         Red         Clear

Centerpieces are decorated with red candles and red velvet bows
unless you specify one of the following:

Candle color: White         Blue

Bow color: White Satin          Blue Velvet          Burgundy Velvet

 

If faxing or mailing your order, please print this page once you have completed the form.