Name *

First Name

Last Name

Phone *

(###)

###

####

I would prefer to pay by ....... *

E-transfer to info@midvalleygardens.com

Tap my Credit/ Debit Card Upon arrival

Cash upon arrival

I will phone the flower shop with my credit card information

*

We will be in contact to confirm your order.

I understand this order is not complete until Mid Valley Gardens has given confirmation, and payment has been received.

Who will this be delivered to?

First Name

Last Name

What is the phone number of the person it is being delivered to?

(###)

###

####

What is the address for delivery?

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country