Wildflower Custom Order Form
We specialize in real dried flower arrangements <3

Minimum order for custom arrangements is $100
Sign in to Google to save your progress. Learn more
Email *
Name *
Phone number
Preferred method of communication
Clear selection
Describe your custom dried flower arrangement. Please send us links to inspiration photos šŸ’› *
What's your budget for this? Minimum is $100 for custom orders *
Would you like a wrapped bouquet or vase arrangement?  *
If vase bouquet, let us know below if you would like any text on the vase. We use vinyl letters to adhere onto the vase. Max characters is 21
Captionless Image
Delivery, pickup, or ship? Delivery and shipping will incur an extra charge depending on the distance from our Long Beach location.  *
If applicable, what's the delivery address?
What date would you like to pickup or delivery of your flowers?  *
MM
/
DD
/
YYYY
What time would you like you to pickup or delivery of your flowers? Our pickup hours are 12 pm-9 pm, and delivery hours are 11 am-3 pm. 
Time
:
Note: Once payment is confirmed, our floral team will commence working on your custom arrangement. We will then send you a photograph of the arrangement for your approval. You are welcome to request up to one modification to the arrangement before we proceed with the final order. *
Required
Anything else you would like to add? 
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms