Wedding Information Request Form

	Request for Information
To receive information about flowers for a wedding, reception, or related event, please fill in the form so we may provide you with the information you want. (Required fields are in bold, maroon color)
Information Requested: (check all that apply)	Ceremony Options
	Receptions
	Luncheons, Dinners, & Showers
	Catering
	Additional Services
	Additional Comments or questions:
Best Time to Call:
Bride's & Groom's Names:
Event Date:
Number of Guests:
Preferred form of contact:	Mail Fax Email Phone
Name:
Address1:
Address2 (if needed):
City:
State:
Zip Code:
Daytime Phone
Fax
Email Address: