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You can order flowers maybe phone her best friend, sister, mum send them some money and get them to deliver it to her. Video chat, drawing, oragarmi (I know it's spelt wrong) various different things that will be well appreciated
Well you could do a video chat with her and simply display things like a cake with lit candles, flowers and whatever else you would have done in the ordinary case. In fact, maybe you plan a video chat birthday dinner, and sit opposite sides of each other's tables. You adjust to her time zone. That would be romantic I bet.
It depends on your skills, for example if you know how to play guitar you could try to write a song but if you are chef then is more difficult
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