test pp form

Floral Packages*
Prices includes 2nd day air shipping. We ship out on Monday, Tues. and Wed.
Example: 2nd day air = Monday will be delivered on Wed. afternoon Additional cost for Express, Saturday or special shipping. We ship with Federal Express, no P.O. boxes please.

Gift card, care instructions and Floralife included flowers arrive loose in a box, vase not included
Send a second floral package
Total
$0.00
First recipient's name:*
First recipient’s phone [w/area code]:*
- If Billing is the same as the Shippping address, check here
First Ship to Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
First personal gift card message:
Desired Delivery Date
MM slash DD slash YYYY
Second recipient's name:*
Second recipient’s phone [w/area code]:*
Second Ship to Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Second personal gift card message:
Desired Delivery Date
MM slash DD slash YYYY
Your Name (buyer)*
First Last
Your Phone [w/area code] (Buyer)*
Your Email (Buyer)*
Your Billing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Special Instructions: