MIHS Boys Soccer Mother's Day Fundraiser - Flowers Order Form
Each order form can be used for deliveries to up to 5 recipients. If ordering for delivery to more than 5 recipients, please submit multiple order forms. Thank you!

ORDER DEADLINE: 5pm on 5/1

DELIVERY DATE: 5/4 (deliveries only to Mercer Island addresses)

PAYMENT INFORMATION: $35 per bouquet. Pay via Zelle to (650) 430-1007 or Venmo to @teamchou5 (last 4 digits of phone number for verification purposes is 1007). If you cannot pay via Zelle or Venmo, you can pay via check mailed or delivered to Kevin Chou at MIBSBC, PO Box 936, Mercer Island, WA 98040 (please make the checks payable to "Kevin Chou").

If you send payment via Zelle or Venmo, please treat it as sending a payment to a friend (DO NOT mark it as a purchase of product), so that Zelle and Venmo do not charge us a transaction fee.

DELIVERY CONFIRMATION: With each delivery, we will text you (the purchaser, not the recipient) a picture of the bouquet left at the doorstep of the recipient. There will not be a note on the bouquet so it will be up to you to notify the recipients.

QUESTIONS?  Contact Kevin Chou at kevin@kevinchoulegal.com or (650) 430-1007.

Sign in to Google to save your progress. Learn more
What is your name?
What is your phone number? (we use it to text you a photo of the bouquet when delivered)
What is the name and address of the first recipient? If sending more than one bouquet to a recipient, please note that in parenthesis after the address. Example: Harrison Ford, 1600 Pennsylvania Avenue (2 bouquets)
What is the name and address of the second recipient (if applicable)?
What is the name and address of the third recipient (if applicable)?
What is the name and address of the fourth recipient (if applicable)?
What is the name and address of the recipient of your fifth recipient (if applicable)?
Any special instructions or notes to assist our deliveries?  Example: condo with security; retirement home; gated home
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy