Online Order Forms

Only use this form for rose bouquets! Mixed bouquets have to be called in.

Valentine's Day 2025
Rose Order Form

Customer Name*

Customer Phone Number*

Style*

Vase

Wrap

Number of Roses*

1 Rose$14

2 Roses$18

3 Roses$24

6 Roses$45

12 Roses$75

24 Roses$120

Rose Color*

Red

Pink

Purple

White

Yellow

Multiple

Pick-Up/Delivery*

Pick-Up

Delivery

PICK-UP ORDERS (Please fill out this section if you chose Pick-Up)

Pick-Up Person

Pick-Up Person's Phone Number

Pick-Up Date/Time

Month

Day

Year

Time

:HoursMinutes

DELIVERY ORDERS (Please fill out this section if you chose Delivery)

Flower Recipient

Recipient's Phone Number (We will not deliver without this!)

Recipient's Home Address (or Workplace)

Delivery Date/Time