Flowers by Kim - Columbia Basin
(509) 539-6951 * firstname.lastname@example.org * Like us on facebook @ Flowers by Kim - Columbia Basin
Valentines Day Order Form
Indicates required field
Cell and/or Work #
Make your arrangement type, size, and color choices below:
One Dozen (12) Rose Arrangements in a VASE.
$64.99 Basic medium stem length roses with, greenery and basic fillers (Waxflower/Mini Poms)
$74.99 Deluxe med/long stem roses with greenery and filler of Carnations, Snapdragons, and Alstromeria
$94.99 SPECIAL 1 DOZEN Med./Long Stem Roses with PREMIUM FLOWERS and fillers (Hydrangeas, Lilies, Bells of Ireland, Liatris.
Half Dozen (6) Med. Stem Rose Arrangements with Vase
$49.99 Basic fillers
$59.99 Deluxe fillers
$69.99 Premium fillers
Budget Friendly Options in a Vase
$20.00 -Coffee Mug Arrangement- Roses, Carnations, fillers
$25.00 - 3 Roses, 3 Carnations, greens & deluxe filler
$35.00 - 4 Roses, 3 Gerber Daisies, greens & premium filler
$50.00 - Designers Choice - Roses, Spider Mums, Carnations, fillers and greens
Available Rose Colors
If you want a mixture of colors, please indicate the additional color choices from this list in the Special Request section. Example: I would like 6 white and 6 red roses in the arrangement.
Special Requests (Example: 6 Red and 6 White ) or Add additional roses to any arrangement above for $4.00 each
Delivery or Pick Up Options
I would like to have my order delivered on Valentine's Day for a $10 delivery charge in TRI-CITIES ONLY
Deliver my order on Wednesday, Feb. 12th for a discounted delivery fee of $6.
Deliver on Thursday Feb. 13th for a discounted delivery charge of $8.
I would like to pick up my order on Thurs. 2/13 between 12 and 6 pm
I would like to pick up my order on Valentine's Day on Friday, between 12 and 6 pm
Please provide the following DELIVERY INFORMATION in the required box below. If picking up type n/a in the box.
Recipients First & Last Name
Delivery Address, please indicate if a residence or work place and name of business
Recipients Daytime Phone #
Directions or Special Instructions, if necessary
Required Delivery Info
This is a *required field. If you are picking up the order, please type NO DELIVERY in the box
Delivery Options - we will do our best to accomodate your request
Prefer a morning delivery
Prefer an afternoon delivery
Ok to leave at door if not home
NO DELIVERY REQUIRED, WILL PICK UP
Message for card:
If picking up order, type in "none" and we will have small cards available for you.
- If your order is a DELIVERY ORDER, you will be invoiced via email to pay online (secure thru Square/Quickbooks) with a debit or credit card. If you are picking up your order, you can pay at pick up. I take all major credit cards, checks or cash.
Anything else you would like me to know that may be helpful in designing your order?
Please verify that you have completed all required (*) boxes and hit the "Submit Your Order" button below. When your order has been succesfully submitted, you will receive a confirmation message. I will follow up within a few days with an email or text regarding your order and a mapquest link to Flowers by Kim.
Submit your Order
Like our business page on facebook at Flowers by Kim - Columbia Basin
Flowers by Kim - Columbia Basin