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Eternals by Maria - Custom Order Form 
Hello! Please fill out the details below so we can create your perfect bouquet for you or your loved one. If you have any questions, please feel free to contact me on instagram at Eternalsby_maria or at (901)-215-4503

Location: Weiner AR/Jonesboro AR
Pick up only!
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Name *
Phone Number *
Bouquet Details
How many flowers would you like in your bouquet? *
What colors would you like to include? *
Would you like to add anything extra?
If there are add ons that aren't in the list feel free to write it down in the other option!
*
Wrapping color  *
Payment Method? (I will reach out to you for total & deposit) *
Timing + Pickup
What date do you need the bouquet? *
MM
/
DD
/
YYYY
Notes 
Anything else you'd like me to know?
After submitting your form
Please send me any inspo you have on instagram at Eternalsby_maria or text me at (901)-215-4503. This also goes for any questions you may have.
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