Flower order request
Thank you for your interest. Please fill in the form below in order for us to process your order. Our flower department contact details are ordersfreshlineflora@gmail.com or 0826169261
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Email *
Are you a new or existing customer? *
What is the item you would like to order? *
Please indicate below, what you would like to order
What colours would you like us to use in your order?
What is the budget for your order?
(Please note that local delivery and a notelet is R85)
Your name *
Your phone number *
Your email address *
Recipient name
Recipient phone number
Recipient delivery address
Date of required delivery / collection *
Message for notelet
Please note that no orders will be processed until payment reflects in our bank account. Payments are welcome by EFT, Zapper or card/cash payments on collection (for existing customers only).

Banking details:
Capitec Business
Current account number 1050913175
Branch name Durban
*PLEASE USE YOUR NAME AND DATE OF ORDER FOR REFERENCE  (or customer code for existing customers)
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