Order Number

Pick up or Delivery?

Pick Up Date / Delivery Date*

Recipient's Name*

Prefix First Last

Address*

Street Address City State ZIP Code

Recipient's Phone*

Email

What would you like to order?*

Please select from the choices above or call us if you want to talk about your preferences.

Please select from the options below*

White Spray Rose
Orchid (limited availability)

Foliage*

Yes
No

Ribbon*

White
Red
Blue
Pink
Black

Ribbon*

White
Black

Ribbon Type*

Sheer
Satin

Send us a photo

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Your Budget*

We are happy to accept flower orders of any amount above our minimums. Please let us know how much you would like to spend. Our minimum order is $150.00, plus delivery and tax. Thank you.

Tell us about your flower preferences.

Is this order a gift?

Yes
No

Card Message

Your Name*

First Last

Your Phone Number*

Billing information*

Street Address City State ZIP Code

Your Email*

Your Credit Card Information

Comments

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