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Factuurnummer:
Type of order
Make a choice
Bouquet
Bouquet including vase
Plant
Telephone order
Select an amount
*
Select an amount
€ 20,00
€ 25,00
€ 30,00
€ 35,00
€ 40,00
€ 50,00
€ 75,00
€ 100,00
€ 150,00
€ 200,00
Number
*
Please enter a number greater than or equal to
1
.
Text card
*
Comments (preference for color, type of flowers, etc.)
Delivery date
Delivery date
*
DD
1
2
3
4
5
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9
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11
12
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31
MM
1
2
3
4
5
6
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8
9
10
11
12
YYYY
2024
2023
2022
2021
2020
2019
2018
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2016
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2014
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2012
2011
2010
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1928
1927
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1921
1920
Delivery address
Company name (optional)
Salutation
*
Mr.
Mrs.
Name
*
Address
*
Huisnummer
*
Postal code
*
Place (only in The Netherlands)
*
E-mail address
*
Enter Email
Confirm Email
Telefoonnummer besteller
*
Area:
*
Choose your area
Colmschate, Deventer, Diepenveen, Schalkhaar, Terwolde, Twello, Wilp
Eefde, Voorst
Amsterdam, Den Haag, Epse, Gorssel, Utrecht, Rotterdam, Teuge, Wilp-Achterhoek
Klarenbeek, De Vecht, Nijbroek
Other places
Worp en Steenenkamer
Do you have a different billing address
No
Yes
Billing address
Company name (optional)
Salutation
*
Mr.
Mrs.
Name
*
Address
*
Huisnummer
*
Postal code
*
Place
*
Country
*
Country
The Netherlands
Belgium
E-mail address
*
Phone number
*
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Total
0,00 €
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