HAYFIELDS ORDER FORM:

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WHAT COLOR FLOWER WOULD YOU LIKE? *
WOULD YOU ALSO LIKE A BOUTONNIERE?

PURCHASER BILLING & CONTACT INFORMATION

RECIPIENT CONTACT INFORMATION (if different from above)

PICK UP OR DELIVERY?

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SPECIAL INSTRUCTIONS?

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Pick Up or Delivery Time: *
Current Total (tax will be added at time of purchase of 7.375%):
$0.00

Billing Information

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