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Order Form

Home - Order Form

Order Formbrandedpixel2023-02-15T08:33:38-04:00

Secure Order Form

"*" indicates required fields

1NAME
2ORDER
3OPTIONS
4PAYMENT INFO

• If this form is not filled out correctly and fully, we will not be able to process your order
• We will email or call with an order confirmation within 24 hours

Person Ordering

Name*

Order

What's requested:
Occasion:
*Be realistic with your budget - pricing on flowers in TCI is high due to import duties and S&H

Pickup In-Store or Deliver?

deliver*

In-Store Pick-Up

MM slash DD slash YYYY
Pick Up Time*

Delivery

Delivery charge between $10 - $45 depending on location.
MM slash DD slash YYYY
Delivery Time*
Type*
Delivery Address*
Only delivery in Providenciales
Delivery Person Name*

Payment information

Account or Card*
Accepted file types: doc, docx, pdf, xls, txt, jpg, png, Max. file size: 50 MB.
Credit Card Type*
Note: We protect privacy and do not save information
Reset signature Signature locked. Reset to sign again
Approval to Charge
This field is for validation purposes and should be left unchanged.

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102 Venture House, Grace Bay Road
Providenciales TKCA 1ZZ, Turks & Caicos Islands
Phone: +1-649-941-5621
Shop: flowers@flowersbyea.com
Events: events@flowersbyea.com

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