Love Grows Here – Valentine’s Bouquet Order Form

Love Grows Here: Valentine's Week 2026

February Fundraiser for Agape Village Day Program
Name for Order*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Bouquet Selection*

Half-Dozen Rose Bouquet – $20 (Includes Agape Village Valentine Goodie Bag) Each bouquet is handmade by our clients with love.
How many bouquets are you ordering?*
Please put quantity here
Pick-Up Location:
Agape Village – Valencia Town Center Patios
Behind Solita & The Stand
24301 W. Valencia Blvd, STE 3402

Pick-Up Times:
📅 Thursday, Feb 12 | 1:00 PM – 3:00 PM
📅 Friday, Feb 13 | 9:30 AM – 12:00 PM

Payment:
💳 Payment is collected at pick-up
$20 per bouquet
We accept Cash, Card, or Check (Payable to Agape Village)

Ordering Deadline:
This form will close on February 10th at 8:00 PM to allow our clients time to prepare all bouquets.
✅ Agreement / Confirmation*

I understand that payment is due at pick-up and that orders must be picked up during the scheduled times.
Thank you for supporting Agape Village and our Love Grows Here fundraiser. Your purchase helps make this Valentine’s season special for everyone involved. We are so grateful to be a part of your celebration and for giving our clients an incredible opportunity to learn, grow, and spread love throughout our community.

Happy February! 💕

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📸 Instagram: @agapevillage_
🌐 Website: https://www.agape-village.org/
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Love Grows Here: Valentine's Week 2026