Prom Order form
Wrist Corsage only- $52
APRIL 27TH IS FULLY BOOKED
However we are available for your May 2024 Prom dates!
Choose Your Flower Type
*
Fresh
Faux (artificial)
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What kind of jewelry will you be wearing?
*
Gold
Silver or White Gold
Other
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Bracelet Choice
*
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Ribbon Choice #1
*
Choose a main ribbon color from the options above and write the number in the line
Ribbon Choice #2
*
Choose an accent ribbon color from the options above and write the number in the line
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Choose Your Flower Main Color
*
White
Red
Pink
Purple
Orange
Yellow
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Choose Your Style
*
Simple and Sweet (No Jewels)
People’s Choice (Jewels added)
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Your Name
*
First Name
Last Name
Your Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Your Date's Name
*
First Name
Last Name
REMINDER: APRIL 27TH IS FULLY BOOKED
However we are available for your May 2024 Prom dates!
Prom Date
*
Date of Pick up
*
-
Month
-
Day
Year
Pick up at our store: 620 N, US-69, Huxley, IA 50124
Upload Photo Of Your Dress:
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Enter any notes below about your order:
My Products
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Wrist Corsage
$
52.00
Quantity
1
2
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10
Item subtotal:
$
0.00
Hand-tied bouquet
Surprise your date (or mom!) with a bright mixed bouquet of blooms, cheerfully wrapped with a bow.
$
25.00
Quantity
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
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