Questions? Please call 888-346-3356 or email us at orders@bbrooks.com Hours : Mon - Fri 7am - 4:30pm PST • Sat 7am - 12pm • Closed on Sundays Order Description Card Message: Delivery Date JanFebMarAprMayJunJulAugSepOctNovDec 12345678910111213141516171819202122232425262728293031 2023202420252026202720282029203020312032 How much would you like to spend on the Arrangement? DELIVERY ADDITIONAL (Typically $10-$15) $ Service $10.00 Tax, if applicable 8.625% Recipient Information Who are you sending flowers to? First Name Last Name Street Address City State (use two letters for US) Zip / Postal Code Country AlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua And BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegowinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritorBrunei DarussalamBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, the Democratic RepubliCook IslandsCosta RicaCote d'IvoireCroatiaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEgyptEl SalvadorEnglandEquatorial GuineaEritreaEspanaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreat BritainGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard and Mc Donald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea (South)Korea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepubLatviaLebanonLesothoLiberiaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated StatesMoldova, Republic ofMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern IrelandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRussian FederationRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadiSamoa (Independent)San MarinoSao Tome and PrincipeSaudi ArabiaScotlandSenegalSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South SSouth KoreaSpainSri LankaSt. HelenaSt. Pierre and MiquelonSurinameSvalbard and Jan Mayen IslandSwazilandSwedenSwitzerlandTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidadTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor OutlyingUruguayUzbekistanVanuatuVatican City State (Holy See)VenezuelaViet NamVirgin Islands (British)Virgin Islands (U.S.)WalesWallis and Futuna IslandsWestern SaharaYemenZambiaZimbabwe Recipient Phone ext Alternate Phone 1 ext Alternate Phone 2 ext
