Easter Flower Dedications
Please fill out this form and click submit.
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Deadline to order is 3/15
Honoring/Remembering
Please share the names of your loved ones being honored or remembered:
*
Choose your flowers
Flower Options & Prices
*
Please select all that apply.
Small Potted Flower - $6
Medium Potted Flower - $10
Large Potted Flower - $15
Premium Arrangement - $22.50
If getting more than 1 flower, please use the multiple flowers option and enter the total.
Payment
Small Flower ($6)
Med Flower ($10)
Large Flower ($15)
Premium Flower ($22.50)
Multiple Flowers
Small Flower ($6)
Med Flower ($10)
Large Flower ($15)
Premium Flower ($22.50)
Multiple Flowers
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
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Submit
Description
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