Please complete the form for us to get a better idea of your vision for your special day.

Please complete the form for us to get a better idea of your vision for your special day.
Bride's Name

First NameLast Name
Bride's Email Address
example@example.com
Bride's Contact Number
Format: (000) 000-0000.
Groom's Name

First NameLast Name
Groom's Email Address
example@example.com
Groom's Contact Number
Format: (000) 000-0000.
Wedding Date

MonthDayYear
Ceremony Venue Information:

Venue NameAddressContact Information
Reception Venue Information:

Venue NameAddressContact Information
Floral Budget
Items you may be needing:
Please list any additional items you may be looking for:
Color Palette for Wedding:
Examples: Soft & Neutral, Bold & Vibrant, Earth & Organic, Light & Airy, Dramatic & Moody
Describe your wedding vision:
Examples: Romantic, Modern, Boho, Classic, Garden Inspired, Luxury, Western
Upload your inspiration photos:

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How many total people in your bridal party, Bridesmaids and Maid of Honor?
How many total people in your bridal party, Groomsmen and Best Man?
Maid of Honor:
Best Man:
Estimated Centerpieces?
Bouquet to Toss?
Cake Flowers?
Wedding/Event Planner:
Name of Planner
Contact Information
Photographer:
Name of Photographer
Contact Information
Videographer:
Name of Videographer
Contact Information
Bride's Wedding Attire (Dress, shoes & accessories, where purchased, brand, handmade by whom?):
Groom's Wedding Attire (Dress, shoes & accessories, where purchased, brand, handmade by whom?):
Bridal Party Wedding Attire (Same as Above):
Bridal Attire, Groom's Attire, Bridal Party Wedding Attire:

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Any additional information you would like to include?
How did you hear about us?
What address should the final products be delivered to, if opting for delivery (additional fee depending on distance)?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please feel free to contact Cassia Miller at oldstonehousefloral@outlook.com or

phone (717) 357-4750 if you have any additional questions.

Looking forward to working with you!
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