Flower Delivery Request Form
Shoso Shimbo, Melbourne
Deliver to (Name)
Street Address Line 2
State / Province
Postal / Zip Code
Type of residence: If not a private residence, flower will be delivered to the reception.
Additional information about delivery (time & location).
Boxed flower (a plastic container in a paper box or a ceramic container - over $200 arrangement only)
Bouquet (no container / stage flower)
Any request about the flower
Massage for a card
Message card is free for order over $250. Add $20 for this service.
Date you transferred money to BSB: 033070, No: 286877. If you want to pay by credit card, please request an invoice by email (email@example.com). Please pay at least 48 hours prior to delivery.
Should be Empty:
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