Feedback Form
Please fill this form out and we will get back to you with any questions we have! Thank you💐💗MAKE SURE TO FILL OUT A FORM FOR EACH REQUEST YOU WANT. 1 form = 1 request
What is your name? Please list your contact information, phone number and email
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
What type of event request do you have?
How many roses are you purchasing?
1 dozen (12): $35.00
2 dozen (24): $55.00
3 dozen roses: (36): $75.00
4 dozen roses (48): $95.00
5 dozen Roses (72): $115.00
6 dozen roses (72): $135.00
What color roses would you like? (You can put up to two for a mix and match bouquet for no extra charge)
Rows
Yes
No
Any thoughts?
Red
Pink
Yellow
Would you like any baby’s breath in your bouquet at no extra charge?
*
Yes
No
Would you like any additional accessories? Refer to my list below for examples.
Please Select
Diamond pins: $5 total
Gold butterflies (2-5 quantity): $5 total
Small crown: $5 each
Big crown: $10 each
Polaroids: $1 each
Custom phrase on a ribbon: $6
Message card: $1
Glitter roses for bouquet: $10 total
We currently offer free pickup. We also offer delivery contact us for this service. Please state whether you want pickup or delivery and which city if you want delivery.
Due date for your request?
*
Do you have any additional comments or questions?
Submit
A copy of your responses will be emailed to the address you provided.
example@example.com
Should be Empty: