Country Garden

Add Ons Select all that apply Small Stuffed Animal (+ $10.00) Large Stuffed Animal (+ $20.00) BALLOON (+ $5.00)

Special instructions or notes for florist (Example: colors or specific type of flowers, bow color) Maximum of 600 characters

Card Message * Maximum of 400 characters

Date to be delivered * Maximum of 400 characters

Delivery Location Select all that apply Weston City Limits (+ $5.00) Weston outside city limits (+ $10.00) Clarksburg or Glenville (+ $20.00) Buckhannon, Burnsville or Lost Creek (+ $15.00) Pick Up

receivers name and address (*If not going to a funeral home) * Maximum of 400 characters