FLORAL DIRECTORY LISTING ORDER FORM
(For a secure order form, please click here)

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To order or renew your listing in the floral directory, please fill in and submit the form shown below.   It only costs as little as $149 per year for a full nation-wide listing. 

Fill in all areas and be sure to press the SUBMIT button at the end of the form to send your order. 

ORDER SELECTION:

Directory listing - $ 14.95/month (reg $29.95)
        Options (check all that apply):
Bold listing -                      FREE  (reg $19)       
Website link -                      FREE  (reg $19)
Additional city listings (up to 4) FREE  (reg $9 ea.)

     If you ordered extra cities, please specify names below:

      
      

LISTING INFORMATION (Fields in red are required):

Shop name:       
Contact name:    
Business Address:
City:             State: Zip:
Local Phone No.  
Toll-free No.    
Fax No.          
Website:          (we link DIRECT to your website)
E-mail address:  

PAYMENT INFORMATION:

Credit card type:     
Credit card number:
Expire date:       Month:   Year:
Name on card:     
Billing Address:  
Billing City:      State: Zip:

   

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