Purely Picnics VA
Picnic Request Form
Date of Birth
Mobile Phone Number
Preferred Picnic Date (must be 48 hrs in advance)
Back-up Picnic Date
12:00 p.m. - 2:00 p.m.
1:00 p.m. - 3:00 p.m.
2:00 p.m. - 4:00 p.m.
3:00 p.m. - 5:00 p.m.
4:00 p.m. - 6:00 p.m.
Other: comment at bottom of form
Traditional Picnic Package: Number of Adults
Custom: Please specify in comment section below
Number of Children 10 years and up
Other: Please specify in comment section below
Select a Theme
Stylish Black & White
Custom and Seasonal
Picnic Locations (location requests also accepted) Note: you do not have to contact the location-we do everything for you.
Casanel Vineyard & Winery, Leesburg, VA (
)(21 years old and over only)
Creek's Edge Winery, Lovettsville, VA (
Firefly Cellars, Hamilton, VA (
Sunset Hills Vineyards, Purcellville, VA (
Morven Park, Leesburg, VA (
Oatlands Historic House and Gardens, Leesburg, VA (
) ($10/person grounds fee)
Ida Lee Park, Leesburg, VA (
Picnic at Your Home
Special Request Location: We will do our best to accommodate. State in comments below.
À La Carte Items - Will be delivered to your picnic
Charcuterie Wine Tasting Box: $45 (for 1-2 people)
Charcuterie Grazing Box: $55 (for 2-4 people)
Low-lying, fully-set table $50 (base pkg includes blanket setup only with trays/crates for beverages)
Bakery-Style Cake $30 Small
Bakery-Style Cake $40 Large
Fresh Flowers in vase: Small $50
Fresh Flowers in vase: Large $75
Additional Person: $25 (base package price includes up to four people)
Additional Hour: $50 (base package price includes two hours)
Special Requests: We will do our best to accommodate
Custom Letter Board: Please provide your special message here. (10 words or less, if possible)
Tell us about your special event! What are you celebrating and how can we make this a perfect picnic for you?
How did you hear about us?
Additional Questions or Comments? Leave a note here or email us at
To submit this form, please click the submit button below. Once submitted, please close your browser to avoid re-submission. You will receive a confirmation email from Purely Picnics VA within 24 hours of your request. Please email us at firstname.lastname@example.org with any questions or to check the status of your reservation. We look forward to planning your ultimate picnic experience!
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