When you wish to order an item for delivery, you will just have to fill out this online form with your name and the recipient's information rather than filling in your credit card information each time.  Your order will be processed directly from the Hypnotic Bloom store rather than over the internet. 

Initially, we require that you fill out the profile form below with your credit card and contact information, which is then kept on file at Hypnotic Bloom.  If you have not registered, click here.

Fresh - Short and Sweet $29
Quantity: 
Sender's Name: 
Recipient's Name: 
Sender's E-Mail Address: 
Recipient's E-Mail Address: 
Delivery Address: 
City:  Province:  Postal Code: 
Recipient's Daytime Phone Number: ()- 
Recipient's Evening Phone Number: ()- 
Delivery Date: 
Card Message:

Credit Card Profile
 

Name: 
E-Mail Address: 
Card Billing Address:  (same as your credit card statement)
City:  Province:  Postal Code: 
Daytime Phone Number: ()- 
Evening Phone Number: ()- 
Card Type Credit Card Number:  Expiry Date  (MM/YY)
Additional Information:

If you have any questions at all, feel free to contact us at 780-466-9111, or toll free 1-877-552-9111 or email info@hypnoticbloom.com.