Custom Floral Enquiry 💐
🌸 Thank you for choosing Galanta Blooms! 🌸Please complete the form below with as much detail as possible. We’ll be in touch to confirm availability, finalise your order, and arrange payment. A few things to note: 💐 All orders are subject to flower and product availability. 🚚 FREE DELIVERY is available within Toowoomba City. Delivery is also available to surrounding areas, with any additional delivery fees confirmed upon contact. 📅 Flower orders are available for pickup or delivery Thursday to Sunday. (Please contact us directly for a custom order outside of our regular days) ⏰ Preferred delivery times are requests only and cannot be guaranteed. Please contact us directly if your order is time-sensitive. We can’t wait to create something beautiful for you! 🌷
Customer Details
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Preferred Contact Method
Phone
Text
Email
Collection Method
*
Pick Up
Delivery
Recipient Details (if applicable)
Recipient Full Name
First Name
Last Name
Recipient Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Recipient Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Card Message
Delivery / Pickup Date & Preferred Time
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
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What is the occasion?
*
Birthday
Anniversary
Sympathy/Funeral
New Baby
Congratulations
Wedding/Event Consultation
Formal Wear (Corsage, Buttonhole, ect.)
Other
What type of arrangement are you looking for?
*
Bouquet
Corsage/Buttonhole
Funeral Arrangements
Wedding/Event Consultation
Would you like to add a vase?
*
Please Select
Yes please
No, thank you
Floral Price Point:
*
$20
$30
$40
$50
$60
$80
$100+ (Please confirm once contacted)
What is your preferred colour palette?
*
Soft Pastels
Bright & Cheerful
Whites & Greens
Surprise Me!!
The little details make all the difference! Share any special requests, favourite flowers or colours, delivery tips, or anything else we should know (including whether we’ll need to win over the family watchdog).
Reference Photos: (Optional- Formal, Funeral, Event & Wedding Enquiries)
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I understand that submitting this form is an enquiry only and does not confirm my order until contacted by Galanta Blooms.
*
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How did you hear about us?
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Word of Mouth
The Flower Cart - 323 Ruthven St.
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