Welcome
⠀⠀ ⠀⠀⠀⠀ ⠀⠀⠀⠀ ⠀⠀⠀⠀ ⠀⠀⠀⠀ ⠀⠀ ⠀⠀ ⠀⠀⠀⠀ Personalise Your Rose Box Here. Kindly complete the form below. Please don’t hesitate to request any other colours or designs, I would try my best to meet your request. Once your order has been accepted, I will contact you directly with confirmation along with payment methods. A non-refundable deposit of £20 is required. Please note your order is not secured until deposit is paid. Please allow 1-2 weeks processing time for completion of your Rose Box. Thank you for your order! I am deeply grateful for your support. Nita 🌹
Name
*
First
Last
Contact Number
*
Hope You Haven’t Missed A Digit
Format: (00000000000).
Hat Rose Box
White
Grey
Black
Choose Roses For HAT BOX⠀⠀ ⠀⠀⠀⠀ ⠀⠀ (Maximum 4 Colours)
White
Glitter White
Stone Grey
Pink
Midnight Blue
Yellow
Emerald Green
Vintage Peach
Red
Champagne
Lilac
Baby Blue
Orange
Mocha
Black
Other - Request In Comment Box Below
Optional Personalised Message (Maximum 10 Words)
If None - Leave Blank
Quantity
Please Select
1
2
3
4
5+
How many Hat Boxes would you like to order?
OR/AND
Mirror Box Sizes
Small (10x10cm)
Medium (14x14cm)
Large (18x18cm)
Choose Roses For MIRROR BOX⠀⠀ ⠀⠀⠀⠀ ⠀⠀ (Maximum 4 Colours)
White
Glitter White
Stone Grey
Pink
Midnight Blue
Yellow
Emerald Green
Vintage Peach
Red
Champagne
Lilac
Baby Blue
Orange
Mocha
Black
Other - Request In Comment Box Below
Optional Personalised Message (Maximum 10 Words)
If None - Leave Blank
Quantity
Please Select
1
2
3
4
5+
How many Mirror Boxes would you like to order?
OR/AND
Clear Rose Box (24 Roses & Chocolates Of Your Choice)
White Roses
Ivory/Cream Roses
Pink Roses
Optional Personalised Message (Maximum 10 Words)
If None - Leave Blank
Quantity
Please Select
1
2
3
4
5+
How many Clear Rose boxes would you like to order?
OR/AND
Fresh Flower Rose Box
24 Red Roses - Large Box
12 Cream Roses - Medium Box
12 Pink Roses - Medium Box
Optional Personalised Message (Maximum 10 Words)
If None - Leave Blank
Quantity
Please Select
1
2
3
4
5+
How many Fresh Flower Rose Boxes would you like to order?
General Comments
Chocolate of choice, Specific rose colour, specific colour of box etc
Extra Gifts
Personalised Milk Water Bottle
When Would You Like Your Rose Box
*
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Day
-
Month
Year
Date
How Did You Find Completing This Form?
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