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>>>Please Print this page out and fax# 770-755-5736 or email to floralinteriordesignplus@gmail.com for special custom order.
Floral Interior Design Plus
Custom Order Form
Customer Name:____________ Date:____________
Address:_____________________
___________________________
Contact#___________________
Order Date:____________________
Designer’s Name: Arithalia
Business #: 770-755-5736
Cell #: 404-312-0223
(To Be Filled In By Customer)
To enable us to better serve you, please fill out the information below:
1) What color(s) would you like in the floral arrangement?
(For color accuracy, choose from our selection of colors or provide a fabric swatch) If In Color Chart Specify Code#__________
2) What type of flowers do you prefer?_______________
3) What type of arrangement are you interested in?_______________
A) __Oriental __ Seasonal __Contemporary
__Provincial Country __Traditional __Special Occasion
B) Please indicate if arrangement is to be __one-sided or __two-sided.
4) Where will the arrangement be placed? Room___ Location________
5) What type of vase or container do you prefer? ___________________
6) Please indicate price range?_______________
Email address is Accurate!

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