ORDER NOW Mother's Day Order Form ⋆𐙚₊˚⊹♡ 2 Name * First Name Last Name Email * Phone * (###) ### #### Instagram Handle * Pick-Up Date * MM DD YYYY Option * 25 Rose Bouquet ($80+) 50 Rose Bouquet ($160+) 75 Rose Bouquet ($210+) 100 Rose Bouquet ($280+) Regular Mixed Blooms ($95+) Large Mixed Blooms ($160+) "I ♡ U" Box Arrangement ($100+) Flower Basket ($120+) Color Theme * Hot Pink Light Pink Red White Purple Yellow Any Color (Florist Choice) Wrapping Color * Black White Red Pink Beige Purple Pink Dior Red Dior Black Dior Any Wrapping Color Pearl Wrap ($15) Add-Ons Baby's Breath $10 Baby's Breath Letter $20 Custom Message Ribbon $10 Crown $20 Butterflies $5 Plushy $20 Diamond Pins $5 Pearl Pins $7 Tissue Rim $10 Additional Notes/Comments: Preferred Payment Method * Cashapp Venmo Credit/Debit Thank you for shopping with Alie’s Florals to make this Mother’s Day extra special! Please allow 24-72 hours for a response via IG. ⋆𐙚₊˚⊹♡