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Chapelle Jr. Prom Sat May 9, 2026 
Fill out separate form for each item ordered.  You will get an auto email from google (check spam) confirming order. You will get an email from me a few days before dance confirming price and pickup instructions (check spam).   ONCE ORDER IS PLACED, FLOWERS ARE ORDERED and PAID FOR.   TOTAL AMOUNT WILL BE DUE PRIOR TO PICKUP DATE ONCE YOUR ORDER IS PLACED.
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Email *
First and last name for pickup
 *
10 digit Phone number *
Boutonniere or Corsage or NOSEGAY

 *
Rose Color?
*
Ribbon Color (please be specific)

Ex. light blue, navy blue, royal blue
OR 
Ex. dark emerald or bright emerald
 *
Embellishments: Charms, Special Bracelets, etc. 
Pick up day?
 *
School? *
A copy of your responses will be emailed to the address you provided.
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