Halo or Flower Crown Order Form

Dance Order Form - Halos/Flower Crowns

Personal Information

* Indicates required field

Name *

First

Last

Email *

Phone Number *

What Event Is The Dance For? *

Date of the Dance *

Pickup Date *

Order Details

What Would You Like to Order? *

Do You Need An Additional Item? *

Yes No

What Additional Items Do You Need? *

Pricing Information
MODEST HALO: $40, Greenery only
DELUXE HALO: $50, Flowers incorporated
PREMIUM HALO: $65, Mostly Flowers
Boutonnieres Start at $10.00

What Color is The Dress? *

Picture of the Dress *

Max file size: 20MB

Details for the Order? Colors, Flowers Etc. *

Example of What You Are Looking For? *

Max file size: 20MB

Size Options *

Modest $40.00 Deluxe $50.00 Premium $65.00

All Details will be submitted to a JL Designs staff member who will enter the order and send you over confirmation within 48 hours of submission. Please note that all information entered will be subject to supply and stock of items in store. If you have any questions please contact us at 770-267-5061, option 1. Our friendly retail staff will be happy to assist you with the order.

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Dance Order Form - Halos/Flower Crowns

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