Order Form Order Form Your Contact Information (*indicates required info) First Name* Last Name* Email Address* Primary Phone No.* Optional Phone No. Your Selection* Credit Card Number* Expiry* CVD Code* Please note: Your order, and the total cost (including tax and delivery), will be confirmed via telephone and/or email. In the unlikely event that any component of your order is unavailable, we will substitute comparable flowers, containers, etc of maximum value. Recipient Information First Name* Last Name* Company Address* City* State / Province* Phone* Delivery Date* Enclosure Card Message* (150 character maximum) We always call the recipient to ensure that someone is there to receive delivery or is at least aware of the delivery being made. If you would like to add any special instructions, or if you have any questions, call us at either of the numbers below Local Phone: 604-531-7133 Toll-Free: 1-800-596-8778 OCEAN PARK FLOWERS 12891 - 16th Avenue Surrey, BC V4A 1N5