Floral Delivery Form
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Email *
What day would you like your arrangement delivered? *
MM
/
DD
/
YYYY
What time would you like the order to be delivered? *
What is the name of the recipient? *
What is the delivery address? *
What is the delivery phone number? *
Are there any special instructions for delivery? (Gate, parking, etc.) *
What type of flower arrangement would you like? Please describe colors, specific flower requests, size, or simply say, "Designer's Choice". *
What is the budget for the flower arrangement before tax and delivery? *
What would you like the card message to read? *
What is YOUR name? *
What is your full billing address? *
How would you like to pay? *
What is your phone number? *
Thank you! Someone will be in touch with you to confirm your order.
A copy of your responses will be emailed to the address you provided.
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