Gig Morris Flower Shop
Order Form
Please print this form and
fax your order to 732-681-3309

Date of Order: ______________________

Date of Delivery: ____________________

To: ______________________________________________

Address: __________________________________________

City: _______________________________  Zip: ___________

Phone: ______________________________

Check off one of each below:

Item:  ___ Arrangement  ___ Basket  ___ Vase ___ Wrapped

Flowers: ___ Mixed  ___ Roses  ___ Other

Color:  ___ Mixed  ___Pastels  ___Masculine  ___Other

Occasion:  ___ Birthday  ___ Anniversary  ___ Maternity  ___ Funeral/Sympathy  ___Other

Card Message: __________________________________________________________

______________________________________________________________________

Credit Card:  ___ MC  ___ V  ___ AX  ___ Dis

Number: ______________________________  Expiration Date ___ ___-___ ___

Zip Code to where your credit card bill is sent: ________________

Name on Card: _______________________________________

Your phone number: __________________ (We will call with the total.)

Signature: __________________________  Date: _________________