Blumz...by JR Designs

 

Events/Weddings Consultation Request Form

Meeting Location Preferred :  
Date Of Event/Wedding :  
Time :  
Event Coordinator/Brides Name :  
Phone Number :  
Address :  
City :  
State & Zip :  
Email Address :  
Fax# :  
Best Time To Contact :  
Alternate Contact Person W/Phone # :  
Venue/Ceremony Location & Address :  
Contact Person & Phone # :  
Reception Location & Address :  
Contact Person & Phone # :  
Approx. Number Invited :  
Number of Attendants
Female :  
Male :  
Colors selected :  
Flowers desired (if known) :  
Services requested (select all that apply)
Bouquets(Flowers to Carry) :  
Floral Decorations :  
Corsages/Boutonnieres(Flowers to Wear) :  
Cake :  
Tuxedo Rental :  
Invitations :  
Plant Rental :  
Wedding Directing :  
'Day Of' Coordinating :  
Gifts/Favors :  
Linen/Chair Covers Rental :  
Entertainment :  
Off Site Catering :  
Tent Rental :  
Chair Rental :  
Minister / Officiant :  
Other :  
If you chose 'Other' please describe :  
 
  Before you submit the form, copy the characters that you see in the image above into the box below. (case sensitive)