Grateful Vase Flower Donation Form

FULL NAME

First NameLast Name
YOUR ROLE IN THE EVENT
(Bride, Mother of the Bride, Event Planner, Host)
YOUR EMAIL
PHONE NUMBER
DATE OF EVENT

MonthDayYear
2 digit month, 2 digit day, 4 digit year
TYPE OF EVENT
(Wedding, Baby Shower, Corporate, etc)
PICKUP LOCATION
PICKUP ADDRESS

Street Address

Street Address Line 2

CityState

Zip Code
REQUESTED PICK UP TIME

HR MIN

AM/PM Option
DO WE HAVE THE FLEXIBILITY TO PICK UP THE FOLLOWING MORNING IF NEEDED DUE TO SCHEDULING?
Yes/No
IF YES, WHAT TIME THE FOLLOWING MORNING?

HR MIN

AM/PM Option
CONTACT PERSON AT TIME OF PICK UP
(Name, Relation to Event, Cell Phone)
IN ORDER FOR US TO BE BEST PREPARED FOR YOUR PICK UP, PLEASE CONFIRM WITH YOUR FLORIST AND ANSWER THE FOLLOWING QUESTIONS:
FLORIST NAME
FLORIST EMAIL
FLORIST PHONE NUMBER
FLORIST @INSTAGRAM NAME:
ACCORDING TO YOUR FLORIST & THE TIERED EVENT STRUCTURE LISTED ON OUR WEBSITE, WHAT TIER DOES YOUR EVENT FALL UNDER?
WILL YOUR FLOWERS BE IN VASES OR WILL THEY BE LOOSE FLOWERS?
HAS YOUR FLORIST REQUESTED CERTAIN SUPPLIES BE RETURNED AFTER YOUR EVENT?
(If yes, please remove those before our arrival. We will not be responsible for returning anything once we leave the premises.)
WOULD YOU LIKE A TAX DONATION RECEIPT?
IF YES, WHO IS PURCHASING THE FLOWERS? THIS WILL BE THE NAME THAT WE USE ON THE TAX RECEIPT.
IF YES, WHAT EMAIL WOULD YOU LIKE THE RECEIPT SENT TO?
WE LOVE SHARING OUR MISSION OF KINDNESS & ACKNOWLEDGING THE WONDERFUL INDIVIDUALS THAT HELP US ACCOMPLISH JUST THAT. DO WE HAVE YOUR PERMISSION TO USE ANY CONTENT (VIDEOS OR PHOTOGRAPHY) ONLINE THAT WE MAKE FROM THIS DELIVERY?
(Yes/No, Initial Acknowledgement)
IF YES, YOUR @INSTAGRAM NAME:
HOW DID YOU HEAR ABOUT US?
ANY ADDITIONAL COMMENTS/DETAILS:
Should be Empty: