Rotary Roses Form

Rotary Roses Form

Please submit a separate form for each recipient/delivery address.
Rotary Thanksgiving Roses 2026
Rose Buyer Name

First NameLast Name
Rose Buyer Email
example@example.com
Rose Buyer Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Who is your Rotary Contact:
The name of the person we are delivering the roses to:

First NameLast Name
The person's phone number.
Please enter a valid phone number.Format: (000) 000-0000.
Delivery address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
The message to go on the roses. (Optional)

0/40
The number of dozen roses to be sent:

Other
Total cost of the order (there is no HST, the value below is the total cost):
Choose a delivery date. If you are delivering your own roses, please feel free to choose any date regardless of location.
Any additional notes? Please note, specific delivery times or colour requests will be attempted, but not guaranteed.
You can pay by Etransfer cheque or credit card. The cost per dozen is $45.

Your order will cost {totalCost37}. There is no HST.

Etransfer with most major banks to: phrotaryfinance@gmail.com In the notes section of the etransfer please put your last name and order number.

If paying by cheque, make cheques payable to "Rotary Club of Cambridge (P-H)" and deliver to your Rotary contact or mail to Todd Lyons at 293 Grand Ridge Drive Cambridge ON, N1S 4W9.
You can pay by Etransfer, cheque or credit card. The cost per dozen is $45.

1 Dozen Roses

A beautiful bouquet of 12 long stem roses.

$45.00 CAD Quantity

Total

Please start at the dot and trace along the line with your mouse to verify.
Submit each order using the green Submit button prior to entering another order.

Upon clicking SUBMIT, the screen will clear - if this does not happen, please click submit again; only 1 order will be generated, and you will receive an email confirmation
Should be Empty:

Rotary Thanksgiving Roses 2026