Fresh Cut Flower Order Form
We are a local Mom & 11 year old Daughter (Jessica & Sadie) and I can guarantee you're making our day if you're considering making an Order with us! We appreciate you so much! Your flowers will be arranged with love and filled with fresh picked SummerBlooms such as Zinnias, Cosmos, Sunflowers, Dahlias and more, from our own home Flower Garden. Please follow us on Facebook @Flowers on Power. **Businesses - we'd love it if you shared this with your employees so they can add some extra beauty to their station, desk or even bring some home! **Use Coupon Code: FIRST15 FOR 15% OFF of your first delivery of $25.00 or more.
Residential Customer Name
First Name
Last Name
Or Business Name
Email
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Delivery Address
Street Address
Street Address Line 2
City
State
Postal / Zip Code
Where should we leave your flowers upon delivery?
*
Would you like to sign up for this same Order on a weekly basis? If your answer is No, we can send you a form weekly and you can decide!
*
Yes, weekly deliveries and bill me for the 4 now
Yes, weekly deliveries and payments
No, check in with me weekly
What day(s) do you prefer to receive your Free Delivery of flowers? )Please click all that work for you)
Any day (Monday-Saturday)
Monday/Tuesday
Tuesday/Wednesday
Wednesday/Thursday
Friday/Saturday
Other
**For BUSINESSES ONLY What are your hours for delivery?
**For RESIDENTIAL ONLY What timeframe is best for delivery? It's best to not have them out in the heat or sun for too long...
9AM-12PM
12PM-5PM
After 4PM
Anytime!
How would you like to pay?
Cash (upon delivery)
Check (upon delivery)
Venmo or PayPal (please provide the necessary information below
Type a question
Delivery
Pick Up
If paying with Venmo or Paypal:
Type a question
Cash
Venmo (Jessica-Lawson-72)
Paypal (jlaw229123@gmail.com or provide us with your info. below)
If paying Venmo or Paypal, feel free to give us your name & we'll send a request.
Submit
Should be Empty: