Alternate Floral Subscription Form

I sincerely apologize if you are experiencing difficulties with my order form. I know how annoying that can be. I am not a web designer and haven’t had the ability to troubleshoot this issue. Please copy the fields below and paste them in an email to me and I will get back with you in the next 48 hours. So sorry!

Is this subscription for you or is it a gift for someone else?

Your first and last name:

Your E-mail:

Your Phone:

Your street address (if this subscription is for you):

If this is a gift, what is the recipient’s first and last name?

If this is a gift, what is the recipient’s email address?

Recipient’s address:

Is this a home or a business?

How often would you like flowers delivered?

-Once a month

-Twice a month

Do you have any questions or comments you’d like to add?