Field Five Flowers Intake Form
Thank you so much for your interest in working with us! We look forward to seeing a little glimpse of your vision in your answers below. This form is for those seeking Full Service Custom Design with budgets of $5500+ . Please also see our À La Carte page for additional offerings. Please fill out this form as completely as you can. We are currently focusing on the 2024 season, and will review 2025 inquiries in NOVEMBER. Feel free to email us at any time with your questions! fieldfiveflowers@gmail.com. Thank you!
CONTACT INFO
Celebrant "A" Name
*
First Name
Last Name
Celebrant "A" Pronouns
Celebrant "B" Name
First Name
Last Name
Celebrant "B" Pronouns
Contact Person (if different than Celebrant)
First Name
Last Name
Contact Phone Number
-
Area Code
Phone Number
Event / Wedding Date
*
-
Month
-
Day
Year
Date Picker Icon
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Mailing 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
CEREMONY INFO
Ceremony Location
Ceremony Location Details (tent, open air, indoors)
Ceremony Time
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Reception Location
Reception Location Details: How far from Ceremony Site (at the same location, 100 ft from the ceremony, or miles away?), in a tent, open air, indoors?
Reception Time
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Estimated Number of Guests
Estimated Floral Investment
*
$5,500-$8,000
$8,000-$12,000
$12,000-$18,000
$18,000-$25,000
$25,000+
STYLE
Wedding/Event motif, theme, or color palette:
*
What is your Aesthetic Style?
Classic
Modern
Sophisticated
Artistic
Unconventional
Muted
Colorful
Lush
Casual
Natural
Rustic
Whimsical
Romantic
Luxurious
Vintage
Boho
Favorite Flowers (if any)
Least Favorite Flowers (if any)
CEREMONY / EVENT FLOWERS
Wedding Party Flowers
Quantity
Notes regarding your wedding party flowers
Celebrant Bouquet (e.g. Bridal)
Celebrant Boutonniere (e.g. Grooms)
Toss Bouquet
Hair Flowers
Person-of-Honor Bouquet (eg Maid of Honor)
Person-of-Honor Boutonniere (eg Best Man)
Wedding Party Bouquets (eg Bridesmaids)
Wedding Party Boutonniere (eg Groomsmen)
Flower Child Florals (petals, crown, corsage, boutonniere - please specify)
Ring Bearer Florals (petals, crown, corsage, boutonniere - please specify)
Family Corsage (parent, grandparent, etc)
Family Boutonniere (parent, grandparent, etc)
Officiant Corsage
Officiant Boutonniere
Ceremony / Event Flowers
Quantity
Notes regarding your ceremony / event flowers
Beginning or End of Aisle
Bench Decorations
Aisle Petals - please specify aisle length and full or partial coverage
Aisle Side Flowers - please specify aisle length
Altar (Full-Service only)
Wedding Arch or Chuppah (Full-Service only)
Ceremony Table
Other Arrangements or Installations (Full-Service only)
Cocktail Hour Flowers
Quantity
Notes regarding your cocktail hour flowers
Centerpieces
Other Arrangements or Installations
Reception Flowers
Quantity
Notes regarding your reception flowers
Entryway / Foyer Arrangements
Tables: Welcome, Gift, Guest Book
Table Flowers (Centerpieces, Bud Vases, Ikebana)
Place Setting Decorations
Wedding Cake
Cake Table
Headtable
Dessert Table
Other Arrangements
Wedding Celebrations
Quantity
Notes regarding your wedding celebration flowers
Celebrant Shower (eg Bridal)
Rehearsal Dinner Arrangements
VENDORS
Wedding/Event Planner
*
Photographer
*
May we request to use photos of your florals and event for promotional content (social media, website)?
*
Yes
No
Caterer
Meal Style (plated, buffet, family style, etc)
Cake Designer
Hair & Makeup
Pinterest Board Link
*
Other Questions Comments or Notes
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