Flower Custom Order Form — BLOSSOMS EP

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Let’s Get Some Details

To make sure your blooms arrive just when they should. Please complete the form below for delivery or collection.

Name of Purchaser *

First Name

Last Name

Purchaser's Contact Number

(###)

###

####

Date of Collection or Delivery *

MM

DD

YYYY

Flower Preference

We will do their best to accommodate any request.

How Would You Like to Receive Your Flowers?

Collection or Delivery *

Please only select one option.

Collection from Blossoms EP, Kimba - Only available through Tuesday-Friday

Delivery - Unable to Deleiver on Sundays & Mondays

Collection

If selected Delivery please ignore this question. Only available during operating hours Tuesday-Friday 9.30am - 4.00pm.

Tuesday | 9.30am - 4.00pm

Wednesday | 9.30am - 4.00pm

Thursday | 9.30am - 4.00pm

Friday | 9.30am - 4.00pm

Delivery

If selected Collection please ignore this question. Please note we do not deliver on Sundays or Mondays.

Same Day Delivery

Next Day Delivery

None of the Above - Date has been selected

Recipients Name *

Recipients Contact Number *

(###)

###

####

Complimentary Gift Card

Notes

How did you hear about us? *

Website

Google

Social Media

Word of Month

Returning Customer

Other

Thank you!

CONTACT
0459 855 025
blossomskimba@gmail.com

HOURS
Monday: Closed
Tuesday: 9:30AM - 4:00PM
Wednesday: 9:30AM - 4:00PM
Thursday: 9:30AM - 4:00PM
Friday: 9:30AM - 4:00PM
Saturday: Closed
Sunday: Closed

Public holidays may affect these hours.

VISIT
37 High Street
Kimba, SA 5641

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