Riverside Flower Shop Order Form
no more deliveries available for mother's day weekend. Only pick ups.

Thank you to all those that continue to support us. We appreciate you all so much. 
Sign in to Google to save your progress. Learn more
Email *
Name of Recipient (First Name, Last Name)  *
Name of Sender (First Name, Last Name)  *
Delivery or Curbside Pick up *
SENDER- phone number (if you're not in Canada, please leave your email) *
Delivery/Pick Up Date (MM/DD) *
RECIPIENT phone number- if applicable *
Delivery Address (Unit #, Street Address, City, Postal Code)    *
Floral Arrangement Vessel  *
What is your preferred colour palette? Or include the name of the bouquet from our site (eg. sunset blvd)  *
Are there any flowers that you would like for us to include? *
Are there any flowers that you would like us to exclude?  *
Flower Budget (excluding delivery and HST) *
Message for the Card (Handwritten cards are only applicable for DELIVERY orders not Pick Up) Please keep them short as the cards are small.
Payment *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms