Floral Order Form

If you are out of town or not near our store location in downtown Toronto, please complete this floral order form to have flowers ready for pick-up or delivered on the specified day and time. Power Flowers will contact you to confirm the order, and obtain other necessary information prior to processing your order.

Please make sure you provide a telephone number or email address so that we can contact you. Do not specify credit card information on the form.

 
Q: When can I expect Power Flowers to contact me after submitting an order?
Your Name and Contact Information
Name:

Business

Phone:
Country
 
  Area/City Code: Number: Ext.  (if applicable): 
E-mail:
   Email me a receipt for tax purposes
  On most business days, receipt indicating payment in full will be emailed to you on the same day or the day after delivery or pick-up. For deliveries and pick-ups on or shortly before Valentine's Day or Mother's Day, receipt will be emailed within two days after Valentine's Day or Mother's Day. If you require a receipt, please select the check box and do not forget to specify your email address in the above box so the receipt can be emailed to you.
Purchase Information
Please indicate the item(s) you want to purchase.
Roses: Amount:
  Colour:
    Long stem: Short stem:
           
Arrangement:
or
Bouquet:
     
     
Message
Please specify the message that you want to provide on the card. Do not forget to identify your name or business in the message if you want the recipient to know who sent the arrangement or bouquet.
Message:
Pick-up or Delivery Information
Please indicate whether you want to pick up the order from our store location or have it delivered. If delivery is desired, please provide the requested delivery information.
Pick-up: Delivery:
Recipient Name:

Business
Recipient Phone: Area Code: Number:  
Full Delivery Address:
City/Town:
Pick-up or Delivery Date:
Pick-up or Delivery Time*:
* Power Flowers will make every effort to deliver within the specified time frame. However, due to order volume, delivery on the specified day may be earlier or later.
Comments
Please specify any comments or directions to Power Flowers that will help us to complete your order.
Comments:

 
Submitted information will only be used by Power Flowers for the purpose of completing an order. No information will be forwarded to a third party. Form will be processed by Response-O-Matic.