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Would this be for Delivery or Pickup? *

Type of Arrangement *

Flowers Arranged in vase/container Loose flowers wrapped in tissue Dish Garden ($40 and up) Funeral Roses Arranged ($70 all colors) Other

Occasion *

Funeral if applies

Price *

Color Preference

ORDER DETAILS

Card Message & Signature *

Delivery or Pick Up Date *

Would you like to add on any special items like a balloon, plush animla, candy, candle or special throw to your order??

Balloon $5

Box of Chocolate $15

Cheerful Giver Candle $27

Our Own Candle $9

Throw Blanket $39

Plush Bear and Choc $25

Plush Bear Small $10 None

Employee Intials *

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Quantity

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