Avanda's Custom Florals: Online Order Request 
This form sends the shop an email and we will confirm your order via return email or text.  Thank you for choosing Avanda's custom florals!
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Last name, First name *
Your Cell Phone: *
Your Email: *
Date for Order (MM/DD/YY)? *
MM
/
DD
/
YYYY
Pick Up or Delivery?
(Delivery will be confirmed by a shop call, $10 within 3 blocks; $15 in central Philadelphia - see website for zip codes)
 *
Wrapped Bouquet or Vase Arrangement?
(added cost for vase is approx $9-$16 and designer fee of 15%)
 *
Bouquet Style 
(pick all that apply, 
add color or flower preference 
under Other)?
 *
Required
Any Special Instructions?
Preferred Price range? 
(use Other line to comment)
 *
 About Order Confirmations:
- Pick-Ups do not require confirmation;  
- Deliveries do and require prepayment. 
Call 570-493-0509 or we will phone you.
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