BRG Gift Shop - Flowers Order Form

BRG Gift Shop - Dance Flowers Order Form
All orders must be placed by 4:30 PM on the Tuesday before the event.

Unfortunately we cannot accept any flower orders for events on April 23rd, 24th, or 25th. We apologize for this inconvenience, but please keep us in mind for your next event!
Name

First NameLast Name
Email
Date of Event:
Orders may be picked up the Friday before the dance between 12 PM-4:30 PM or Saturday between 10 AM-2 PM. Flowers can be picked up at the Bluebonnet Gift Shop(Select one)
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Pick-Up Person's Name

First NameLast Name
Pick-Up Person's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Please provide flower color(s) request & dress color here. Please note that some flowers may be unavailable at the time of the event and colors may vary. We will contact you if needed.
Please choose your color combinations and style:

Please provide flower color(s) request & dress color here. Please note that some flowers may be unavailable at the time of the event and colors may vary. We will contact you if needed.
Color Combinations:

Other (color or flower specifictions) :

Handheld Bouquet

Price Includes Tax

$54.98 Quantity

Wristlet Cuff - Silver or Gold

Price Includes Tax

$49.48 QuantityCuff Color

Boutonniere

Price Includes Tax

$19.79 Quantity

Total

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

BRG Gift Shop - Dance Flowers Order Form