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Barri Blooms Order Request

Name

Phone Number

Email

Is this for delivery or pickup?

Is this for delivery or pickup?

Pickup/Delivery Date

Order Type

Order Type

Size

Size

Occasion

Occasion

Classic Colors

Classic Colors

Custom Colors ($)

Custom Colors ($)

Topper/Wording

Add-Ons

Add-Ons

Anything else we should know?