Name of preschool student you are ordering from? *
Your answer
Choose the types of flowers and colors you would like and tally the totals of each in the sections below.
10" Hanging Flower Baskets $22.00 each
Petunias: Available in Purple, Red or Orange (enter color and amount of each- Ex: Purple-2 Red-1)
Your answer
10" Hanging Flower Baskets $22.00 each
Sunpatiens: Available in Pink or Orange (enter color and amount of each- Ex: Pink-2 Orange-1)
Your answer
10" Hanging Flower Baskets $22.00 each
Fuchsias: Enter in total amount
Your answer
10" Hanging Flower Baskets $22.00 each
Boston Ferns: Enter in total amount
Your answer
4.5 Potted Flowers $8.00 each
Geraniums:
Available in Red or Pink (enter color and amount of each- Ex: Red-2 Pink-1)
Your answer
4.5 Potted Flowers $8.00 each
Daisies:
Available in Yellow- Enter total amount
Your answer
4.5 Potted Flowers $8.00 each
Zinnias:
Available in Pink, Yellow or Scarlet (enter color and amount of each- Ex: Pink-2 Yellow-1)
Your answer
4.5 Potted Flowers $8.00 each
Non-stop Begonias:
Available in Red, Pink or White (enter color and amount of each- Ex: Pink-2 White-1)
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Total Amount Due: *
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Thank you for your order! Please submit your payment by cash or check by April 16th (instruction details at top of this order form). Receipt will be emailed upon receiving payment. *