Simple Secure Order Form

As a simpler and faster alternative to our on-line order checkout process you may place your order by completing all sections of the form below.
Fields marked with are required, otherwise you will get an error message. Thanks!

Product Information
$

Drag/Slide the little red square to select a dollar value.
Chocolates
SM - $15
MD - $20
LG - $35
EX - $50

Teddy Bear
SM - $15
MD - $25
LG - $35
EX - $50

Stuffed Animal
SM - $20
MD - $35
LG - $50
EX - $100

Glass Vase
SM - $10
MD - $15
LG - $20

Helium Balloon
$7.97

Greeting Card
$7.97

Delivery Information

Seasonal and regional conditions affect the supply and cost of flowers and greens. Specific varieties or colors may not always be available or meet our quality standards. In some cases, substitutions may be necessary to fulfill your floral and container requirements. The dimensions given for arrangements are approximations. However, you may refer to them for general size guidelines.

Maximum 250 characters is acceptable. Enter card signature in the box below.
Please include name(s) of sender on the card OR check the box if you wish to remain Anonymous.
Same day delivery is available in the U.S. and Canada on orders placed before 2 pm in the recipient's time zone Monday through Friday. Saturday and Sunday delivery for orders placed by 12:00 noon in the recipient's time zone. Sunday deliveries may unfortunately be made the following Monday, if Sunday is not available. Delivery may not be included in the price of the order if a surcharge is required.
Must be a valid Email address.
We will try to accommodate all delivery requests, however specific times cannot be guaranteed. Funeral deliveries do receive the highest time priority.
Billing Information
Must be a valid Email address.
  1. You may phone in your credit card number after you submit order.
  2. Credit cards are not processed online while you wait. Done later on our point of sale (POS) software.
  3. You may send payment by PayPal to gifts@brantflorist.com after you receive your invoice.
  4. You may request that order be charged to your pre-approved house account.

 Send Order

Additional Info:

  • Taxes and delivery charges, as required, will be added and shown, on the invoice emailed to you.
  • Delivery will not be made, until you approve and accept the final invoice.
  • Before delivery, you will receive a completed email copy of your order, showing all details submitted, plus charges for delivery and taxes, as applicable.

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PAYMENT OPTIONS

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We accept payments with most major Credit and Debit Cards: Visa, MasterCard, American Express, Discover. We also accept PayPal™ and Interac® Online and Interac® e-Transfer®.

©Copyright 1996-2019 Bolt Family Florist Inc. All images are copyrighted and licensed by their respective owners.
FTD® logo and FTD® images used by permission. Teleflora® logo and Teleflora® images used by permission.
Interflora® logo and Interflora® images used by permission.
Interac® Trade-mark of Interac Inc. used under licence.

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