Wedding Form Preferred Florist * Hansen's Flower Shop Bruce's Flowers Beachwood Florist Name * First Name Last Name Partners name * First Name Last Name Who is our main person of contact? * Please specify who they are (wedding planner, coordinator, friend, family member etc) Email * Phone * (###) ### #### Home address * Address 1 Address 2 City State/Province Zip/Postal Code Country Wedding date * MM DD YYYY Where is the ceremony * Address 1 Address 2 City State/Province Zip/Postal Code Country What time is your ceremony? * Hour Minute Second AM PM Where is the reception? * Address 1 Address 2 City State/Province Zip/Postal Code Country What time is the reception? * Hour Minute Second AM PM Describe your style and color palette What is your budget for wedding florals? * This can include various factors such as loose florals, centerpieces, bouquets, etc. Intimate $500-$1500 Modest $2,000-$4,500 Grand $5,000+ Lavish $10,000+ Thank you for filling out this form it will help us understand your vision and how we can provide the absolute best service. We will get back to you as prompt as we can! In the mean time if you have any questions or concerns please do not hesitate to call us at 203-255-0461 or email us at Jackie@Hansensflowershop.com-The Hansen’s Team