#1:Delivery Methods
Self Pick-upDelivery * Free of change for orders more than 5,500 yenShipment * Price varies depending on destination. Shipping fee is not included

#2:Desired Pick-up Date * Required

#3:Name(Sender) * Required

#4:Telephone Number(Sender) * Required

#5:Email Address(Sender) * Required

#6:Name(Recipient) * Required

#7:Delivery Address * Required

#8:Delivery Phone Number * Required

#9:Flower Occasion
BirthdayCelebrationAnniversarySeasonal EventGet WellFuneralSympathyOthers

#10:Budget * Required
—以下から選択してください—　 up to 5,500 yen　 up to 11,000 yen　 more than 11,000 yen

#11:Type of Flowers * Required
—以下から選択してください—　 Bouquet　 Box Flower　 Arrangement　 Other

#12:Desired Color
Leave it to the ExpertChoose Your Favorite Color

#13:Enclosure of Message Card
NoYes

#14:Tell us your Desired Color(#12), Message(#13), other questions, etc. .

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