Farewell Flowers Order Form
Customer Information
Name
First Name
Last Name
Phone Number
Email
example@example.com
Order Details
Name of the Deceased
First Name
Last Name
Card Message
Farewell Flowers (please refer to catalogue for Ref Code)
prev
next
( X )
Natural Garden Style Cross
£
200.00
Quantity
1
2
3
4
5
6
7
8
9
10
Reference
2A
2B
2C
2D
Item subtotal:
£
0.00
Natural Garden Style Casket Spray
£
200.00
Quantity
1
2
3
4
5
6
7
8
9
10
Reference
2E
2F
2G
2H
2I
2J
Replantable Arrangement (price on application)
£
Free
Please call 07460 341486 for a quote
Quantity
1
2
3
4
5
6
7
8
9
10
Reference
3A
3B
3C
3D
3E
Classic Teardrop Spray
£
170.00
Quantity
1
2
3
4
5
6
7
8
9
10
Reference
3F
3G
3H
3I
Traditional Posy Arrangement
£
70.00
Quantity
1
2
3
4
5
6
7
8
9
10
Reference
4A
4B
4C
4D
4E
4F
Open Heart
£
110.00
Quantity
1
2
3
4
5
6
7
8
9
10
Reference
5A
5B
5C
5D
5E
5F
Floral Shape (price on application)
£
Free
Please call 07460 341486 to discuss requirements
Quantity
1
2
3
4
5
6
7
8
9
10
Reference
5G
Open Wreath
£
95.00
Quantity
1
2
3
4
5
6
7
8
9
10
Reference
5H
5I
5J
5K
5L
5M
Floral Letters (price on application)
£
Free
Please call 07460 341486 to discuss requirements
Quantity
1
2
3
4
5
6
7
8
9
10
Reference
5N
Solid Heart
£
125.00
Quantity
1
2
3
4
5
6
7
8
9
10
Reference
6A
6B
6C
6D
6E
6F
Hand Tied Spray Bouquet
£
80.00
Quantity
1
2
3
4
5
6
7
8
9
10
7A
7B
7C
7D
7E
7F
Flowers in a Vase (suitable for decor at funeral wake)
£
30.00
Flowers can be designed in same colours as funeral arrangement
Quantity
1
2
3
4
5
6
7
8
9
10
Subtotal
£
0.00
Shipping
£
0.00
Total
£
0.00
Payment Method
Please Select
Bank Transfer (see below)
Credit/Debit Card (phone 07460 341486 to pay)
PayPal info@thymetobloom.co.uk
Invoice (for business)
Bank Details
Bank HSBC
Sort Code 40-22-27
A/C No 81502549
Delivery Information
Funeral Date & Time
-
Day
-
Month
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Funeral Director Name
Address
Street Address
Street Address Line 2
City
County
Post Code
Requests or Special Instructions
Submit
Should be Empty: