Sender's First & Last Name
Sender's Phone Number
Card Type Blank Card (no theme) Happy Birthday! Happy Anniversary! Thinking of You Just Because Thank You! Best Wishes! Congratulations! Retirement I’m Sorry Speedy Recovery Deepest Sympathies Holiday - Christmas Holiday - Easter Holiday - Mother’s Day
Card Message
Delivery Date (day) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Delivery Date (month) Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec
Recipient's Phone Number
I acknowledge Flower orders will be created as similar as possible to the image above with a container and flowers the store has on hand at the time
I acknowledge orders should be placed with at least 24hr notice and will call in if I would like expedited delivery, (Same day delivery is subject to Laura's availability)
*Optional* I would like following specific colours/flowers and would like to be contacted if substitutions are required
