Flower preservation request | Bloom & Make LLC
The information you provide in this form will help me offer you a range of options for your bouquet preservation. I will respond via email within 2-3 business days. For good measure, please also check your spam folder for an email from ana@bloomandmake.com. Thank you!
Sign in to Google to save your progress. Learn more
Email *
Your first and last name *
Your email *
Your mobile phone number (to coordinate drop off/pick-up) *
Will the flowers be available in the Chicagoland area? *
Your bouquet is... *
Your wedding date is:
MM
/
DD
/
YYYY
What is the main color scheme of the bouquet/floral arrangement?
Which of the following flowers will be included in the arrangement? Please check all that apply.
What preservation options are you interested in? Please check all that apply.
Anything else you'd like me to know about your flowers or the items you'd like created?
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Ana Constantinescu. Report Abuse