JC Custom Designs - Prescott Area Gift Order Form

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Place your order for a Gift Bouquet or Lei from JC Custom Designs - LOCAL ONLY, NO SHIPPING
Delivery included within 15 miles of 86323 (first week of May ONLY)
Delivery outside of local radius - $15- $25 extra (first week of May ONLY)

Website - jccustomdesigns.com
Phone Number - 480-787-1918
Pick up in Chino Valley

Type of Gift *

Gift Bouquet

Grad Lei

Crown

Required

Grad Lei and Crown Accent Color Choices, List school colors or choose up to two standard colors

Crown - During grad season, options are limited to the following:

Crown, no flowers, large fan center - Monetary Value: $36 - Total cost $85

Crown, two flowers, medium fan center - Monetary Value: $36 - Total cost $85

Crown, custom value flowers/fan center - Base monetary value $36 - base cost $85 + extra monetary value (ex. base crown plus 3x $20 bills for fan center = $145 total cost)

Other:

Clear selection

Delivery or Pick up *

Delivery within 15 miles of 86323 (included in base price)

Delivery outside of 15 mile radius (call or text for quote 480-787-1918)

Pick Up in Chino Valley

Required

Customer Information - Name, Address, Phone number, Email Address *

Gift Bouquet - Monetary Value

$85 base price for $50 monetary value

$150 base price for $100 monetary value

$215 base price for $150 monetary value

$280 base price for $200 monetary value

$400 base price for $300 monetary value

Higher Monetary Values will require a quote. Please call 480-787-1918 to place your order

Clear selection

Gift Bouquet - Color choices for standard tissue paper wrap ( included in base price) include name of school if you are wanting school colors, Select up to two standard colors per bouquet.

Gift Bouquet Flower Choices

Roses

Mixed florals (you can specify color but flower choice will be up to designer)

No artificial flowers, just $ flowers

Clear selection

Gift Bouquet Flower Color Specification - Specify one color for roses, up to two colors for mixed florals

Gift Bouquet - Add ons

Premium Tissue Paper - $7 upcharge (call or text to confirm available colors/choices 480-787-1918))

Glitter Artificial Flowers - $10 upcharge

Customized Ribbon Bouquet Banner - $15 upcharge

Grad Gift Lei - $70 base price for a $30 Monetary Value Lei is the ONLY base choice available this year due to high demand.
Select your add-ons

Extra $ flower (monetary value $30) Total - $45 per flower.

Extra $ flower (monetary value $6) Total - $10 per flower.

2026 Grad Ribbon add on - $5 upcharge

Personalized Ribbon add on - $15 upcharge ( example ' Congrats Ryan!) Please specify personalization in Other section of this box

Braided ribbon lei in school colors (second layer of the lei) - Upcharge of $15

Other:

Acknowledgment *

I understand that JC Custom Designs ONLY accepts Zelle or Venmo

I understand that refunds are only given in the event that JC Custom Designs is unable to complete the order

I understand that once I confirm my selections via email for my order, I cannot make changes

I understand that my order will not be processed until I have responded to the confirmation email and have fully paid for my order

Required

Additional Information Section - If you are ordering more than one item, please specify here and call or text to complete your order, otherwise a new google form will be needed for each order. 480-787-1918

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