ORDER FORM

NATIONWIDE DELIVERY OPTIONS

We also offer nationwide overnight delivery for our custom designed burlap bouquets. Shipping fee is subject to the delivery zip code and ranges anywhere from $12 (in New York) to $45 (to California on a Saturday), for example.

	Designer Choice Bouquet w/Burlap & Ribbon - $75
	Add a vase - $15

LOCAL PICK UP AND DELIVERY OPTIONS

All arrangements and bouquets are designed based on in-season floral options and what our designers feel matches the occasion. If you would like something specific, please leave notes in the comments section of this form.

	Designer Choice Medium Bouquet w/Ribbon - $55
	Designer Choice Large Bouquet w/Ribbon - $75
	Designer Choice Medium Vase Arrangement - $85
	Designers choice dozen roses in vase with complementary blooms and greens $120
	Classic "Thank You" or "Happy Birthday" Vase Arrangement - $120
	Custom or Specific Bouquet or Arrangement - Price Varies
	Seasonal House Plant in Curated Pot - $75
	Wow Factor Curated Arrangement - $200
	Gold Flower Cuff (white blooms with greenery) - $45

Any specific requests or needs? *

Would you like to include a message with your flowers?

RECIPIENT CONTACT INFORMATION

Recipient First Name *

Recipient Last Name *

Recipient Street Address *

Recipient City *

Recipient State *

Recipient Zip Code *

Recipient Phone Number *

Recipient Email Address *

PURCHASER BILLING & CONTACT INFORMATION

Purchaser First Name *

Purchaser Last Name *

Purchaser Zip Code *

Purchaser Phone Number

Purchaser Email Address *

PICK UP OR DELIVERY?

OPTIONS ARE: *

PICK UP AT THE STORE - NO CHARGE

LOCAL DELIVERY $15 (North Salem area)

REGIONAL DELIVERY $25 (12 miles +)

NATIONWIDE DELIVERY - TBD

SPECIAL INSTRUCTIONS?

Local Pick Up or Delivery Date: +

Local Pick Up or Delivery Time:

Between 9am - 12pm

Between 12pm - 2pm

After 2pm

Extra Notes: Call Ahead? Leave at the Front Door? Leave in the Heated Garage?

Current Total (tax will be added at time of purchase of 8.375%):

$0.00

Billing Information: We charge a 4% processing fee along with Westchester County 8.375%. tax.

Card Number: *

Credit Card Type *

Expiration Date (mm/yy) *

CVV: *

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