In This Section

Step One: Patient Information

Patient's First Name*:
Patient's Last Name*:
Room Number:
Card Message:
Special Instructions:
Delivery: Orders received after 11:00am EST will be delivered either the same or next business day. If you would like your order delivered another day, please specify.

Step Two: Please select your item(s):

Flowers
Carnation Bud Vase $10.95	Rose Bud Vase $12.95
Small Floral Arrangement $14.95-$19.95 Large Floral Arrangement $29.95-$36.95	Medium Floral Arrangement $21.95-$24.95

Balloons
18 inch - $3.99
Get Well	Baby Girl
Baby Boy	Happy Birthday
Thinking of You	Congratulations
Encouragement	Cheer You
Smiley Face	Love You
26 inch - $5.99 each
Baby Boy	Baby Girl
Get Well
30 inch - $6.99
Get Well
28 inch musical - $11.99
Happy Birthday	Congratulations
Me and You	Get Well
36 inch - $ 5.99
Get Well

Russell Stover Boxed Chocolate Candy
$5.99-$10.99

Plush
Small Plush $9.99	Medium Plush $15.99
Large Plush $21.99

Magazines ($3.29 - $5.99)
Readers Digest	US Weekly
Good Housekeeping	People
Ladies Home Journal	Family Circle
Woman's World	Golf Digest
Oprah	Newsweek
Road and Track	Crossword Puzzle Book

Step Three: Billing Information

First Name*:
Last Name*:
Address 1*:
Address 2:
City*:
State*:
Zip*:
Daytime Phone*:
Evening Phone:
Email Address*:

Credit Card Type*:
Credit Card Number*:
Credit Card Expiration Date*:
Enter the text as it is shown in the above box*:
If you are having difficulty placing an order, you may place an order by calling the Gift Shop at (248) 471-8024. Gift Shop Hours: 10am-8pm Monday - Friday 1pm-5pm Saturday & Sunday
Michigan Sales Tax of 6% will apply. You will receive email confirmation that the order has been received and the time the order will be delivered to the patient.

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