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・Your name.(required)

・Your e-mail address.(required)

・Item's name and number.(required)

・Your address.(required)

・The recipient's name.(required)

・The recipient's phone number.(required)

・Delivery address.(required)

(Please also give us Postal cord)

・Delivery date.(required)

(You can specify the date after two days after tomorrow)

・Message to your recipient.

(We will make a message card with flowers.),AND,request and question to us.

If the information is right,please check the box and push “send” button.(required)

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