Candy Blossoms Custom Candy Bouquets
Full Name:
Phone Number:
Address:
Email Address:
Bouquet is from: (name)
Send bouquet to: (name)
Budget for bouquet: (tax & shipping not included)
Occasion / Theme for bouquet:
Message from sender:
Date bouquet is needed:
Comments / special requests:  ** Special requests may cost extra
Delivery? (yes or no)
*A delivery charge of $3.00 for Cedar Falls, Iowa.  $5.00 for
Waterloo. $8.00 for surrounding communities.
Delivery Address:
Shipping? (yes or no)
* Standard UPS / Fed Ex shipping rates apply, plus cost of
packaging.  
Shipping Address:
Pick up? (yes or no)
How did you hear about
Candy Blossoms?
* Pick up at address: 6910 Viking Rd. Cedar Falls IA  50613.  
Please call or email if you need directions and to schedule a pick
up time.  
Custom Bouquet Order Form
Please fill out the following information and hit submit.  As soon as we see
your Custom Bouquet request form, we'll email you an invoice via paypal
totaling the cost of the bouquet and any tax or shipping / delivery charges if
applicable.  Once we see your credit card payment go through we'll get to
work on your bouquet!
* SHIPPING
We will make every effort to have your package arrive on your specified day.
However due to circumstances beyond our control, we cannot guarantee that a
package will arrive on a specific date.