Flower Order Form

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Flower Order Form

Receive beautiful organically grown flowers all season long!

Name *

Cellphone Number (I will text a picture of the arrangement I make for you to make sure you love it!) *

Choose which size you want. The pictures shown here are just for a size reference. *

Bud vase ($7)

Small ($14)

Medium ($24)

Large ($34)

Do you want to pick up your flowers from the farmhouse porch (free) or do you want to pay extra and get them delivered?

Pick up from the farmhouse porch (free)

Delivered (check the delivery page for pricing)

Clear selection

If you want your flowers delivered, what is your address?

Would you like me to include a note? If yes, what message do you want me to write? *

What day do you want the flowers?

YYYY

Jessica will email you with the total price due. How do you want to pay? *

Venmo (@ jessicataufer)

Cash

Credit card (add 3%)- if you choose this option you will get an email with a link to use to pay with a credit card.

The flowers come in a vase with a packet of flower food. You have the option to get the flowers wrapped in plastic instead of in a vase, which will decrease the cost by $1. Which do you prefer *

Vase (free)

Wrapped in plastic (save $1)

Would you like to add on any gifts?

Get well soon kit $10 (cough drops, tissues, a can of organic chicken noodle soup, an Emergen-C packet)

Assorted Chocolate Candy $10 (M&M's, Hershey's, 3 Musketeers, Kit Kat, Snickers)

Teddy Bear $10 (soft, 7" tall)

Fruit $10 (seasonal fruit that we organically grew)

Veggies $10 (seasonal vegetables that we organically grew)

Soy wax candle $10 (we make it using essential oils)

Two bars of soap $10 (we organically made it using add-ins from our garden like lavender buds and rosemary)

Other:

Is there anything else you want Jessica to know?

Submit

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