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*

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?

BALLOON ONLYSMALL FLORAL EVENT (up to 25 arrangements, 1 SUV needed)MEDIUM FLORAL EVENT (26–49 arrangements, 1 small box van needed)LARGE FLORAL EVENT (50+ arrangements, 1 large box van needed)

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: