Holiday Flowers Ordering Form

Due to technical issues, our order forms are currently inoperative.
Please call us directly at (719) 471-1133 and we will be happy to assist you.

Select item, enter quantity and a price category.
You will be contacted within 24 hours for verification and special instructions.

** We reserve the right to make substitution
with the products based on product availability.

Billing Information
* Name
Company Name
* Billing Address
Billing Address
* City
* State
* Zip
* Phone
* Email address
* Confirm Email
* Required Information
*Delivery Information if different from above*
Name
Company Name
Address
Address
City
State
Zip
Phone

Special Instructions Delivery Card Message Delivery Date:
Credit Card Information
* Credit Card Discover Card MasterCard VISA
	* Name on Card * Credit Card Number	Exp. Date	Month	Year

A charge of $10 will be added to your order for Metro delivery.

We will call you to confirm your order within 24 hours.

1219 W. Colorado Ave.
Colorado Springs, CO 80904
e-mail: info@The-Basket-Case.net
Ph 719-471-1133 FAX 719-475-1700

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9 Peach Roses Qty Price each	Crazy Cube Qty Price each	Spice It Up Qty Price each	European Garden Qty Price each
Fire and Ice Qty Price each	Pretty Pink Qty Price each	Lots of Love Qty Price each	Love Potion Qty Price each
2 Orchids with Fern in Wicker Qty Price each	3 Assorted Orchids in Wicker Qty Price each	3 Phalaenopsis in Decorative Pot Qty Price each	Elegant Orchid Qty Price each
	Corsage (any color) Qty Price each	Tropical Arrangement Qty Price each