Happy Birthday Long Stem Bouquet

*Recipient's Name

*Type of Building -select- Apartment Business Condo Hospital House

When ordering for a Hospital, please include as much detail as possible. Be sure you include the building name, floor number, room number, wing name, and unit name.

Eg. Building 3, 5th floor, Room 20B, Cardiology.

Please add this information to the special delivery instructions field.

*Does this 'condo/apartment' have a concierge? Yes   No

Please note: not all buildings with a concierge allow cookie deliveries. If the delivery is rejected then a redelivery fee will apply.

one (1) delivery attempt will be made. If we are unable to deliver the products then a redelivery charge will apply.

I understand

Business Name

*Address

Suite

*City Burlington Oakville Ancaster Dundas Etobicoke Hamilton Milton Mississauga North York Stoney Creek Toronto Waterdown Brampton Markham Scarborough Thornhill Vaughan Woodbridge Mount Hope Maple Markham North

*Postal Code

If you are sending this package to a company then please enter a work phone number.

For the safety of our couriers, please provide the recipient's phone number to allow us to arrange the delivery safely.

I agree it is ok to call the recipient's phone number(s) to arrange for safe delivery (if needed)