Flower Order Form

Our minimum order amount for a delivery is $50.00 - delivery fees are based on mileage and will be added onto your order. Same day deliveries must be ordered by 12pm. 

Please enter a debit/credit card below. We will not take a payment until your arrangement is being designed. This allows for us to start designing. 

Flower Order Form

Is your order for delivery or pickup?

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Delivery/Pickup Date

If picking up, choose your time.

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Recipients Name

Type of Address.

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If business, what's the name?

Special Delivery Instructions.

Recipients Phone Number

Flower Order Type

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Any special design requests. i.e. color, flower type. **Please note we can not guarantee any specific flowers or colors.

Message To Recipient

I understand that by submitting this form, I am placing an order with Dahlias. I agree that I am responsible for the invoice amount that will follow my submission. We will not exceed your budget amount. Delivery and tax is added to your final cost. If you want the delivery and tax included in your budget, please tell us this in the special design request input above. 

 

We will send a photo of your completed arrangement to your phone number provided above for approval. 

 

By submitting this order form, you give Dahlias permission to send a picture of your completed arrangement to your mobile device via text. Standard text message rates may apply.   

2626 Lewisville Clemmons Rd.

Clemmons, NC 27012

336.293.7726

© 2019 By Dahlias, INC.