2020 Floral Order Form
Delivery Date
-
Month
-
Day
Year
Date
Your Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Recipients Name
First Name
Last Name
Recipients Address
Street Address
Unit #
City
State
Zip Code
Recipient's Phone Number
-
Area Code
Phone Number
Card Message
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( X )
Delivery Fee-Portland/Vancouver Area
$
15.00
Free delivery in the Gresham Metro Area
Seasonal Wrapped Bouquet
$
35.00
Seasonal flowers/colors -designers choice
Quantity
1
2
3
4
5
6
7
8
9
10
Small Vase Arrangement
$
50.00
Seasonal arrangement with designers choice of flower/colors.
Quantity
1
2
3
4
5
6
7
8
9
10
Medium Vase Arrangement
$
75.00
Seasonal flowers/colors designers choice
Quantity
1
2
3
4
5
6
7
8
9
10
Large Vase Arragement
$
95.00
Seasonal flowers/colors designers choice
Quantity
1
2
3
4
5
6
7
8
9
10
X-Large Vase Arragement
$
195.00
Seasonal flowers/colors designers choice
Quantity
1
2
3
4
5
6
7
8
9
10
Total
$
0.00
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