Daisies Boho Chic Order Form
Please fill in form below with items you would like to purchase and it will be shipped within one business day. Please add $1.50 shipping for jewelry items (which will also be boxed) & $5.50 shipping on all other items.
Email address
Item# & Brief Description:
Your answer
Size & Color:
Your answer
Full Name
(as shows on credit card):
Your answer
Billing Address:
Your answer
Shipping Address if different:
Your answer
Credit Card # (CC)
Your answer
Credit Card Expiration Date & CVS Code:
Your answer
Email:
(will email shipping confirmation):
Your answer
Phone Number:
(we will only use if problem or if we don’t get email response)
Your answer
THANK YOU FOR YOUR ORDER!
XO, Tina & Amberly
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms