Recipients Name:
Recipients Address:
Card Message for Order 1:
Delivery Date:
Any Special Instructions:
Credit Card Holders Name:
(As It Appears On Card)
Credit Card Holders Details:
Order & Code:
1st Order 
Credit Card Valid From Date:
(If Applicable)
Issue Number (Where Applicable):
Credit/Debit Card No:
*
*
= Indicates Required Information
*
*
*
*
*
*
*
Month:
Year:
Credit Card Expiry Date:
*
Month:
Year:
Card Message for Order 2:
Funeral Time:
(if applicable)
2nd Order
In Case We Need To Contact You About Your Order, 
Please Supply The Following:
3 Digit Security No:
*
Please Make Sure You Enter The Correct Order!
Please Specify AM or PM
The Cost Of Your Order Will Have The Following Delivery Charge Added:
1) Local Delivery - From £3.00
2) Interflora Same Day Delivery - From £8
Finishing Touches Order 1
Finishing Touches Order 2
We want you to know that at Ferriers Florist, we highly respect your data security. Once your card payment has gone through, we will not store your Credit Card details in any way. The other details of your order will be stored securely for one month only, just in case we need to reference it in anyway or contact you about your order. After a month your data will be permanantly deleted and no record kept. By submitting your order, you accept that we will use your data in this way. Rest assured any order submitted will be treated securely and respectfully. Thank you for choosing Ferriers with your Floristry needs.