Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Date of Event

MM

DD

YYYY

Type of Event

Wedding

Memorial

Other Special Life Event

Pre-Dried Flowers

Floral Recreation

Will you be Shipping or Dropping Off your Flowers?

Shipping

Dropping Off

Items Available for Order

Please select the items that you are interested in ordering. We will return back to you an invoice and contract for you to review and sign.

6" Block

8" Block

6" Round

8" Round

7" Arch

10" Arch

Serving Tray

Cone Ring Holder

Jewelry Dish

Ornament

4 Pack of Coasters

6 Pack of Coasters

10 Pack of Coasters

Necklace

Earrings

Bracelet

Magnets

11" x 14" Wall Frame

8" x 10" Wall Frame

8" Framed Round

12" Framed Round

Custom Piece

I understand that upon receiving back my invoice and contract from the Flower Preservation Company I am responsible to pay my $200 non-refundable deposit to secure my date.

I agree

I need clarification on this