Step 1 of 3 - General Information 0% Date Date Format: MM slash DD slash YYYY School / Organization*Contact InformationContact Name* First Last Phone*Email* Billing/Shipping InformationBilling Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Shipping Address*(NO P.O. BOX OR RESIDENTIAL ADDRESSES) Same as Billing Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Product OrdersBasic Assorted Roses Kit400 Roses / Case Price: $140.00 Standard Roses Kit800 Roses / Case Price: $270.00 Deluxe Roses Kit1600 Roses / Case Price: $512.00 Number of Case(s)Number of Case(s)Number of Case(s)Total Cost ($140.00 / Case)Total Cost ($270.00 / Case)Total Cost ($512.00 / Case)Sales Tax __% Price: $0.00 Sales Tax __% Price: $0.00 Sales Tax __% Price: $0.00 FREE SHIPPING in Florida * Outside FL, Shipping Cost on Invoice.FREE SHIPPING in Florida * Outside FL, Shipping Cost on Invoice.FREE SHIPPING in Florida * Outside FL, Shipping Cost on Invoice.(A) Payment Due(B) Payment Due(C) Payment DueTotal Due $0.00 Payment OptionsWould you like to pay by?*Payable by CheckPayable by Credit CardPayment: Checks payable to Fun Services. Please mail payment and original order form to Fun Services 2881 NE 7th Ave Pompano Beach, FL 33064.Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name Customer AcknowledgeCustomer (Initial Here)*Date* Date Format: MM slash DD slash YYYY Signature*Captcha