Delivery Service Form

Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Package(s) *

Please note, Silver is for farm pick up only. We accept check, cash or Venmo (@Thea-folls) This is for 10 weeks, tax is included.

Platinum-$604.80

Gold-$475.20

Add-on-$270.00

Silver-$378.00

Color options *

Choose one or more to be rotated each week.

Monochromatic

Greens & Whites

Pastels

Brights

Red, oranges, golds

Blues, purples, lavender

Surprise option-We will use a new combination each week

Bouquet Height *

Short

Medium

Tall

Pre/Post Season Bouquets *

We have flowers Spring through Fall. If you want additional bouquets outside the ten weeks as available, please check yes. You agree to be billed at the end of the season for each additional bouquet.

Pre-season

Post- season

Both

None