Kash Luxe Designs - Rose Bouquet Order Form
Fresh Rose Bouquets
Thank you for your order! Please Read Below.
Please read and complete the entire form carefully before submitting your request. Once your request has been submitted you will receive a response via email. Upon finalizing your order, you will be able to select a pick-up or delivery time and receive your invoice for payment. Please note, a 50% deposit is required with the final payment due the morning of your delivery date. We will not deliver any orders without the final payment.
Last Minute Orders
We DO NOT accept same day orders. All orders must be placed 48hrs before delivery date.
Pick-Up/Delivery
We are located in West Philadelphia. For pick-up orders you will receive the address once the deposit is paid. Delivery time window will be selected once order is completed. WE DO NOT SHIP ORDERS.
Cancellations
Cancellations made under 48 hours of pick-up or delivery are NONREFUNDABLE.
Sender Name
*
First Name
Last Name
Contact Number
*
Please enter a valid phone number.
Email
*
example@example.com
Recipient Name
*
First Name
Last Name
Recipient Phone Number
Please enter a valid phone number.
Rose Bouquet (please choose one)
*
12 Roses - $55 (one color only)
25 Roses - $80 (one color only)
50 Roses - $140 (up to two colors)
75 Roses - $200 (up to three colors)
100 Roses - $260 (up to four colors)
Rose Color(s)
*
Red
Pink
White
Orange
Yellow
Lavender
Wrapping Paper
*
Black with Gold Lining
White with Gold Lining
Pink with Gold Lining
Christian Dior (black & white)
Other (please indicate in special requests box)
Add-Ons
*
4 Helium Balloons (colors will be selected to match occasion and rose colors) $5
6 Helium Balloons (colors will be selected to match occasion and rose colors) $7
Custom Banner $10
Diamond Pins $10
Baby's Breath $6
Custom Topper $15
None
Custom Banner Note (if selected in Add-ons)
must be 4 words or less
Complimentary Note
*
i.e., Happy Birthday Lisa! Love, Mom
Special Requests? Please add them below.
Desired Delivery Date
*
-
Month
-
Day
Year
Date
Pick-Up or Delivery
*
Pick-Up
Delivery - $10
Delivery Address (If you selected 'delivery' in the previous section)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
Should be Empty: