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Special Occasions

Winter Formal

Customer Name*

Customer Phone Number*

Product Choice*

Corsage & Boutonniere ($32.95)

Corsage ($25.00)

Boutonniere ($7.95)

Wearer's Name (Put both names if ordering for a couple)*

Pick Up Person*

Pick Up Person Phone Number *

(We will text this number when the order is ready for pick-up)

Pick Up Day*

Friday (10:00 AM-5:00 PM)

Saturday (10:00 AM-2:00 PM)

Dress Color*

Black

White

Blue

Red

Other

Accent Color*

Silver

Gold

Pearl

Flower Color*

White

Red

Pink

Upload a Photo (Optional)

Send us a photo of your dress so we can better color match!

Additional Notes

To play, press and hold the enter key. To stop, release the enter key.

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