FLOWERS PRE-ORDER FORM Web: www.michaelsfloristofbuffalo.com Michaels Florist + Gifts Email: [email protected] 2916 Delaware Ave. Kenmore N.Y. 14217 Phone: 1-800-846-0748 or 716-875-3700 or fax 716-874-0367 CLUB NAME: _________________________________________________________________________ Person Submitting: _____________________________________________________________________ Phone Number: ________________________________________________________________________ Email: _______________________________________________________________________________ Date to be delivered to Tonawanda Aquatic Center: ___________________________________________ PLEASE NOTE FOR: 3:15pm-8:00pm 11-12 finals Mon. 6/28; PLEASE TURN IN FORM: BY 4:00 on Thursday June, 24th 3:15pm-8:30pm 13-15 finals Tues 6/29; PLEASE TURN IN FORM: BY 4:00 on Thursday, June, 24th 8:40am-2:00pm 16-17 finals Sat. 7/03; PLEASE TURN IN FORM: BY 4:00 on Thursday, July 1st_ 2:50pm-7:30pm 18-19 finals Sat. 7/03; PLEASE TURN IN FORM: BY 4:00 on Thursday, July 1st_ ***** IF MULTIPLE DAYS, PLEASE USE MULTIPLE FORMS****** (Each bouquet includes greenery and Babies Breath in cello wrap with choice of ribbon color) Choice of color for Carnations and Roses are: RED, WHITE, YELLOW and PINK for 11-12 and 13-15 finals. Only Pink Flowers will be sold for 16-17 and 18-19 finals in honor of our Pink the Pool for Breast Awareness. “FIGHTING BREAST CANCER ONE FIGURE AT A TIME” QTY TYPE FLOWER BOUQUET FLOWER COLOR 11-12 OR 13-15 FINALS PINK FLOWERS 16-17AND18-19 FINALS RIBBON COLOR PRICE EACH ONE CARNATION THREE CARNATIONS SIX CARNATIONS TWELVE CARNATIONS $3.00 $6.00 $10.00 $16.00 ONE ROSE THREE ROSES SIX ROSES TWELVE ROSES $4.00 $12.00 $25.00 $40.00 MIXED BOUQUET FOR KEEPS ONE SILK CARNATION THREE silk CARNATIONS ONE SILK ROSE THREE SILK ROSES $16.00 If paying by credit card please email completed form to: TOTAL PRICE $4.00 $8.00 $5.00 $14.00 [email protected] or fax 716-874-0367 Card Type__________ Credit Card # _________________________________________Exp._______________ Or make checks payable to Michaels Florist and Mail to 2916 Delaware Ave. Kenmore N.Y. 14217
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