General Info: * required info

*Sender's Name:

*Phone #:

*Second Phone #:

*Email:




*Recipient's Name:

*Phone #:

Second Phone #:

Email:

*Address:

Optional location if recipient is out:


Item Description:                   


Plant Type:
Choose: Safari Dimensional mind Palm forest Green tea Pixie Jungle The jade forest The revolution Whirly girl The artful glance The artful glance cream Desert rain Zebra lounge Salt and pepper Miss hepburn Moonlight reflection Coco Graces of asia The black market The invitation Midnight watergarden Sorbetto Lime rickey    Quantity:
Special instructions and additional items:



Delivery:                                 

If you live within the lower mainland please fill out this part:
Delivered?:
Pick Up?:

Delivery Date:
Regular Thursday other date

Note: Cut off time for Thursday deliveries is Tuesday at 11 a.m. Arrangements can be
made for other days. We will confirm with you at time of payment.

Special Instructions for delivery:



Message:                                

Standard message card?: Yes No
Kermodi Garden Art card?: Yes No

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