Capital Florist: Valentine's Day Pre-order form
Fill out the form below and give us as much detail as possible to make this surprise successful!

Please note that only orders that are paid in full by Feb 13th, 2018 will be guaranteed to be delivered by the time and date you have specified below.

$5.00 delivery in Ottawa-Gatineau on Feb 13, Feb 14th, 2018

All prices subject to applicable taxes (HST 13%)

Email address *
Please choose your blooms & Gifts *
Recipient's Name *
Your answer
Your message to your better half! *
Your answer
Delivery Address *
Your answer
Delivery Date *
Preferred Delivery Time (8am-3pm) *
Recipient's phone number
Your answer
Notes (special requests, directions, etc.) *
Your answer
Your email address (To confirm your order and send your invoice) *
Your answer
How did you hear about us? *
Your answer
A copy of your responses will be emailed to the address you provided.
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