Fleuriste Gilchrist
1307 Ste-Catherine W
Montréal, PQ  H3G 1P7
(514) 843-5538 or
(514) 842-7711 ext. 214
Fax: (514) 843-5538

Fax order form

You may place an order by faxing it to us at (514) 843-5538.

  • Please fax your order at least two days before the delivery date.
    We cannot accept faxed orders beyond this deadline.
  • You will be charged when the order is ready for delivery.
  • We will contact you if for some reason your order cannot be executed according to your instructions.
  • For technical and security reasons, we are not presently accepting orders by Internet.
  • Sorry, we cannot accept payments on delivery (C.O.D.)

Personal information:
Your name:
Your phone number:
Credit card: Visa
MasterCard
American Express		 Diner’s Club
Carte Ogilvy
Your credit card number: exp:

Delivered to:

  
Name:
Address:
City:
Postal code:
Phone number:
Day of delivery:
Time of delivery
 AM
(between 9 am
and noon)
 PM
(between noon
and 6 pm)		 Work hours
(until 4 pm)
Message to send with delivery:

Order details
Plants:
(indicate quantity) 		green plants
flowering plants
 orchid
poinsettia
 
other:
Arrangement:
(indicate quantity)		 hand tied bouquet
 table center basket
 
other:
Container:
glass vase
 terracotta pot ceramic pot
For which occasion? wedding
anniversary
birth
 funerals
formal reception
corporate event
 
other occasion:
It is for... a woman
a man

a girl
a boy
What kind of colors? warm tones
pastels
soft colors
vibrant colors
 roses
yellows
oranges
reds		 purples
whites
happy
sad
 
other colors:
Budget: (not including taxes and delivery)
General description:
 

Thank-you for choosing Gilchrist Florist!