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CUSTOMER INFORMATION:

CONTACT INFORMATION: PICK UP DATE: DELIVERY DATE:

Name:

Email:

Name:

Phone:



 

 

CUSTOMER INFORMATION:

CONTACT INFORMATION:

PICK UP DATE:

DELIVERY DATE:

Name:

Email:

Name:

Phone:

Quantity (Stems/Bunches)Product:Color/Variety:Appropriate Substitutions (if necessary)