Wilde Fleur Co.
Bouquet Preservation Intake Form
Name
*
First Name
Last Name
Email
*
example@example.com
Event Date
*
-
Month
-
Day
Year
Date
Florist Name:
Your Instagram Handle:
All bouquet preservation services require a $100 non-refundable deposit. Invoice for deposit will be sent out with contract within 48 business hours of submitting this form. Your date is not secured until contract is signed and deposit is received. Please check your spam/junk folder.
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I have read the above and understand my date is not secured until my contract is signed and deposit is received.
Main Pieces (All orders must contain at least one main piece) All pieces are subject to GST & PST
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6' Square Block ($350)
8' Square Block ($450)
10' Square Block ($550)
12" Square Block ($650)
5' Hexagon Block ($325)
7' Hexagon Block ($425)
9' Hexagon Block ($525)
11' Hexagon Block ($625)
12 x 18' Serving Tray - 3D Flowers ($700)
12 x 18' Serving Tray - Pressed Flowers ($600)
5' Bookend Pair ($450)
7' Bookend Pair ($550)
9' Bookend Pair ($650)
6' Arch ($350)
8' Arch ($450)
10' Arch ($550)
Large Gem Stone ($400)
Small Gem Stone ($300)
11 x 14” Pressed Glass Frame ($325)
16 x 20” Pressed Glass Frame ($375)
How many of each item would you like? (e.g., 1 x 10' Block, 2 Letters (S & M))
Add-on Pieces
Small Ring Holder ($50)
Medium Ring Holder ($65)
Large Ring Holder ($80)
Christmas Ornament ($75)
Coaster Set - 4 Pieces ($130)
Tea Light Candle Holder ($80)
Jewelry Tray ($80)
Jewelry Box ($100)
Wine Stopper ($40)
Vase ($100)
Bookmark ($20)
Initial Keychain ($30)
6” Letter ($200)
How many of each add-on item would you like? (e.g., 1 x large ring holder, 4 x wine stopper, 4 initial keychains (A, B, C, D))
Are You Wanting Something Completely Custom That Isn't Listed? Please submit photos and we will get back to you with a custom quote.
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What is your design preference?
Full bloom design
Minimal/Negative Space
What is your layout preference?
Centre Design
Corner Design
Double Corner Design
Diagonal Design
If you have any other design preference, please indicate below. (e.g., mostly roses, minimal greenery, etc.)
Local Order or Out of Province/City? Wilde Fleur Co. Is based in East St Paul, MB. We only accept flowers from within Canada. If you are unable to drop off your flowers locally, you will be responsible for shipping your flowers to us, and having your finished pieces shipped back to you.
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Local Drop Off & Pick Up
Out of Province/City - I understand I am responsible for all shipping costs
After this form is submitted, we will contact you within 48 business hours. Once we process your order form, you will receive an email from us with a contract and an invoice for your deposit. Your date is not secured until both your contract is signed, and your deposit is received.
*
I have read the above and understand my date is not secured until my contract is signed and deposit is recevied.
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