Name: 

Company: 

Adress 1: 

Adress 2: 

City: 

Code:

contry: 

E-mail

phone:

Fax: 

 

Information of the person whom you wish to send the flowers:
Recipients Name:
Recipients Adress 1:
Recipients Adress 2:
City: 
Post Code:
contry:

Flower Information:
Portugal
12 Carnations € 21 (PTE 4,200$)
24 Carnations € 25 (PTE 5,000$)
36 Carnations € 31 (PTE 6,200$)

6 Gerbera € 22 (PTE 4,375$)
12 Gerbera € 31 (PTE 6,200$)

Asiatic Lilies € 31 (PTE 6,200$)

Orchids € 47 (PTE 9,420$)

Mix Bouquet A € 27.4 (PTE 5,500$)
Mix Bouquet B € 34.9 (PTE 7,000$)
Mix Bouquet C € 47.4 (PTE 9,500$)

Spring Bouquet € 35 (PTE 7,017$) 		12 Carnations €18 (PTE 3,600$)
24 Carnations € 22.5 (PTE 4,500$)
36 Carnations € 26.2 (PTE 5,250$)

6 Gerbera € 18.7 (PTE 3,750$)
12 Gerbera € 25 (PTE 5,000$)

Asiatic Lilies € 25 (PTE 5,000$)

Orchids € 37.4 (PTE 7,500$)

Mix Bouquet A € 22.4 (PTE 4,500$)
Mix Bouquet B € 30 (PTE 6,000$)
Mix Bouquet C € 40 (PTE 8,000$)

Spring Bouquet € 31 (PTE 6,215$)

Message

Preferred date of arrival:
Payment

I wish to pay by Credit Card: Visa Mastercard AMEX

 Number:

I wish to send expiry date on separate e-mail, please click on orders@snapmax.com  and place expiry date and name only.

I wish to send payment details by phone (+351.251.700.600) or fax (+351.251.700.602)

Please call me back to receive payment details. My number is as follows:

I wish to pay by cheque (Portuguese banks only):

Bank

Cheque Number

Please send me Invoice