Customer Information

First & Last Name

Company or Organization Name

Mobile or Direct Phone

Last Four Digits of Credit Card on File to be charged

Recipient Information

First and Last Name

Mobile Phone

Business Name

Street Address

City

State

Zip Code

Delivery Date

Month

Day

Year

Delivery Instructions

Notes for Delivery Driver

Gate Code or other details to assist with delivery.

Occasion

What would you like to send

There is a $75 minimum on all orders and a $150 minimum on Sympathy Arrangements for Service & Gourmet/Fruit Baskets

Budget - Excluding delivery & tax*

There is a $75 minimum on all orders and a $150 minimum on Sympathy Arrangements for Service & Gourmet/Fruit Baskets

Gratuity for Delivery Driver

If you'd like to recognize your delivery driver's care and service, you may add an optional gratuity during checkout. Every tip goes directly to the driver and is always appreciated.

Notes to Designer

Credit Card Authorization Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

By submitting this order, I authorize Open Air Designs Florist & Wedding Specialist to charge the credit or debit card provided for the total purchase amount, including applicable taxes, delivery fees, optional gratuities, and any approved additional charges related to this order.

I certify that I am the authorized cardholder and that all information provided is accurate. I understand that my payment will be processed at the time my order is accepted and prepared.

Established Customer Order Submission Form

You must have an established account and credit card on file in order to use this option.