Order

Use this handy form to submit a request online, or complete the page, then print it out and fax it to us at 603-436-5331, or call us at the numbers above — any of our able staff will be happy to help. If you submit your order online or via fax, before we deliver your order, we will contact you for order confirmation and payment.

We handle local deliveries in Portsmouth, Greenland, Stratham, Newington, North Hampton, Hampton, Rye, New Castle, Kittery, Eliot and York. For other areas, we use the Teleflora delivery service. Local delivery fees start at $7 and vary depending on the distance. We have a $40 minimum charge for all delivery orders. Please allow a 24-hour notice on all delivery requests submitted via this order form. For same-day service, please call us at 603-436-1234 or 800-353-2140.

Recipient information (person receiving flowers)
First name
Last name
Address 1
Address 2
City
State
Zip
Phone (day)
Phone (eve)
Delivery information
Delivery date
Please allow a 24-hour notice on all delivery requests submitted via this order form. For same-day service, please call us at 603-436-1234 or 800-353-2140.
Choose one or more... Fresh-cut flowers
 Flowers: vase arrangement
 Flowers: basket arrangement
 Plants
 Fruit Basket
Notes/Description
Amount  
($40 minimum charge; delivery fee starting at $7 dependent on location)
Color preference
Occasion
Card message
Your information (person sending flowers)
First name
Last name
Address 1
Address 2
City
State
Zip
Phone (day)
Phone (eve)
Email
Special instructions
How did you hear about us?

© The Flower Kiosk
61 Market Street • Portsmouth, NH 03801
603.436.1234 • 800.353.2140
Fax 603.436.5331
info@flowerkiosk.com

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