Flower Form

Sanctuary Flower Signup

Please select the date(s) and the flower packages below. Thank you for your generosity! Please note: If you elect to use a florist other than those listed you will be responsible for paying them directly.
Full Name *

First Name Last Name
E-mail *
example@example.com
Phone Number *
Date *

Month Day Year
Date
Bulletin dedication: *
Which florist would you like to use? *
Payments are processed through PayPal. You may pay using an existing PayPal account, or any major credit card / debit card.
Are there any specific directions for the florist for your arrangements?

My Products- Two flower arrangements on either side of the pulpit. The size of the arrangements stays relatively the same. The quantity, quality, and variety of the flowers differs in the options below.

Arrangements with Seasonal Flowers Seasonal flowers filling out the arrangement with greenery.

$ 250.00

Arrangement with Seasonal Flowers Increases in fullness adding upper scale flowers like: lilies, roses , gerbera daisies, delphinium

$ 300.00

Arrangement with Special Flowers Showstopper flowers are added to each arrangement in quantity like: Casablanca lilies, Orchid stems, Amaryllis, [We stay away from hydrangeas due to the chance of them drooping in oasis overnight]

$ 350.00

Total

$ 0.00

Payment Method

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Should be Empty:

Sanctuary Flower Signup