Order Form-Timeless Designs

Plants, Florals & Short-Term Rentals Order Form
Pick-up orders will be available at our main location: 74 Allman Road, Lucedale, MS 39452.
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Succulent
$8.00 Quantity



String of Pearls
$6.00 Quantity



Snake Plant
$6.00 Quantity



Rubber Plant
$8.00 Quantity



Peace Lily
$10.00 Quantity



Potting Soil
$5.00 Quantity



Total

$0.00
Name

First NameLast Name
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Delivery Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Comments:

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty: