Quantity

Pick-Up: 

Pick-Up Date ( MM/DD/YYYY )/Preferred time::: 

Delivery: 

Delivery Date: (MM/DD/YYYY) / Preferred time:: 

Receiver's name and phone number: 

Delivery details (e.g. buzzer number, townhouse): 

Message with your order(Optional): 

12 roses / Simple / Black 12 roses / Simple / White 12 roses / Handmade Dried Flower Message Card +$8 / Black 12 roses / Handmade Dried Flower Message Card +$8 / White 24 roses / Simple / Black 24 roses / Simple / White 24 roses / Handmade Dried Flower Message Card +$8 / Black 24 roses / Handmade Dried Flower Message Card +$8 / White 48 roses / Simple / Black 48 roses / Simple / White 48 roses / Handmade Dried Flower Message Card +$8 / Black 48 roses / Handmade Dried Flower Message Card +$8 / White

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