Fall Floral Arrangement Order Form: The Poppy Shop
A beautiful fall floral arrangement in a charming ceramic pumpkin vase, featuring seasonal blooms. Each arrangement is handcrafted with the freshest flowers available.
The Poppy Shop
4404 122nd Street, Suite 600, Lubbock, TX 79407
Name
*
First Name
Last Name
Email
*
example@example.com
Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Pickup Date: (For delivery options, text (833) 806-5107)
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Floral Color Palette Options:
Simply White
Autumn Hues
White + Autumn
Payment
*
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Petite
$75.00
$
75.00
Classic
$100.00
$
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
Statement
$125.00
$
125.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Submit
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