Le Pot de Fleurs

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FORM C FOR International / National Orders

Welcome to our out of town / International Order Page.

Step 1: Choose Delivery Options

Other Currency Options (US Dollars | Euro | Pound/Sterling)

Item 1    
$100 Flower Cake 
Gâteau de fleurs 2

 

Quantity:

As international delivery prices vary, we ask you to include with this price an additional amount between $10 to $25 CAD and choose a rounded figure.

Please type your final price below including this additional amount (please type only numbers with decimals, e.g. 10.50)

Total Price for this selection:

 
Item 2    
$100 Flower Cake 
Gâteau de fleurs 2

 

Quantity:

As international delivery prices vary, we ask you to include with this price an additional amount between $10 to $25 CAD and choose a rounded figure.

Please type your final price below including this additional amount (please type only numbers with decimals, e.g. 10.50)

Total Price for this selection:

 

Step 3: Choose Delivery Location (Where is this being delivered?)

Where is this being delivered?

  • Home, Building Type
  • Office, please include the name of the company
  • Hospital. Name of hospital
  • Funeral Home, write the name of the funeral home
  • Other
  • Don't Know

Recipient Information

First Name: * Last Name:*


Address:*


City:* Province/State:*

Country: Postal Code:


Home Telephone Number:*
Work/Business Telephone Number: ext:
Mobile/Cellular Number:
Email:

Step 4: Provide Billing and sender's information

Payment Options (How would you like to pay for this?)

  • Credit Card ( MasterCard Visa American Express)
      • Card Number:*
        Name on Credit Card:
        Expiration Date:* Month: / Year:
  • Moneygramme / Postal Money Order
      • Moneygramme / Money Order Code:
  • I have an existing account with The Flower Pot
      • My account Number is
        I don't know my account number
  • Cash On Delivery

Please Note: All international orders include an order transfer fee of $20 CAD, this is in addition to item and delivery costs

Sender Information / Please Provide your Contact Details

First Name: * Last Name:*


Address:*


City:* Province/State:*

Country: Postal Code:


Home Telephone Number:*
Work/Business Telephone Number: ext:
Mobile/Cellular Number:
Email:

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1340, Notre-Dame Ouest • Montréal • QC H3C 1K7 • Canada • T: 800.938.2234 / 514.938.1234 • F: 514.938.4321
Copyright © Le Pot de Fleurs, 2002. Tous droits réservés.