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Client Name

Client Last Name

Client Address

Address Line 1

Address Line 2

City

Country

Select

State/Province

Select

Zip Code

Wedding Date

Email Address

Phone #

Flower types

Do you prefer real or silk flowers?

Fresh Flowers
Artificial Real Touch & Silk Flowers

# of Bridesmaids

# of Groomsmen

# of Ring Bearers

# of Flower Girls

# of Moms

# of Dads

# of Grandmothers

# of Grandfathers

# of Centerpieces

Wedding Venue - Name & Address

Provide details on your color scheme, wedding theme, and preferred flowers. Please supply as much information and details as possible (ex. - bridesmaids dress colors, groomsmen tux colors, rustic themed, etc.)

Attach 5 Inspiration Photos Below (i.e. color scheme, bouquet styles, boutonnieres, centerpieces, ceremony decor, etc.)

Image 1

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Image 2

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Image 3

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Image 4

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Image 5

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Attach link to Pintrest Board for extra inspiration (if desired)

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