Sender's name and e-mail:

First Name
Last Name
E-mail

Please, enter Recipient's Data:

Name
Last Name
Phone
City (in Ukraine)
Street and apartment

Date of delivery   day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 month 01 02 03 04 05 06 07 08 09 10 11 12 year 2008

All packages include a greeting card with your special greetings

Write your greetings here 

Please, choose the package you'd like to order

Package 1. ($45)

     3 red roses and a box of sweets

 

Package 2 ($55)

     5 red roses and a box of sweets

 

Package 3 ($45)

     5 red roses

 

Package 4 ($95)

    7 red roses, teddy bear and a box of sweets

 

Package 5 ($65)

    7 red roses

 

Package 6 ($65)

     Champagne, sweets, pineapple, oranges, bananas.

 

  Package 7 ($80)

    11 red roses

 

Package "Special" ($70-$120)

      3 red roses and Silver/gold chain or bracelet.

     write your wish here

 

 

• Check here to choose the way you'd like to pay for a Package

  • Choose the payment method you prefer:

    Credit Card Payment via PayPal

    Money Order/Cheque

    Bank Payment 

    Western Union

Please, provide any additional information below