Order Request
Place an Order for fresh flower arrangements
*Available for PICK UP at 239 Cook Street, Lake Geneva, Wisconsin 53147
7 days a week - 10am to 4pm - Standard Pick Up Hours (Other times available but require a $15 service fee)
When you hit "Submit" on this form, your Order Request will be reviewed and you will receive a response via email within 12 hours.  If your Order can be completed as requested, you will receive a payment link via Square Credit Card Processing.
Only upon payment will your Order be considered CONFIRMED.
No Order is final sale until CONFIRMED.
THANK YOU!
Sign in to Google to save your progress. Learn more
Email *
Date for Pick Up
 *
MM
/
DD
/
YYYY
Time
:
Number of Arrangements Needed
 *
Desired Budget per Arrangement
 *
Occasion
 *
If Other, Please Describe Occasion
Arrangement Type
 *
If Other, Please Describe Arrangement Type Desired
Color Palette Desired (Optional)
Specific Flower Requests (Optional)
Note for Recipient (Optional: Free Handwritten Message to accompany your arrangement)
Contact Email (for confirmation and payment)
 *
Contact Phone (for pick up)
 *
Any Special Note to Florist (Optional)
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
Google Forms