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Back
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Online Order Information Form
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Thank you for
your decision to use our
online service to purchase your
Memory or Friendship Rose
Please proceed by following
the instructions provided below.
For additional Information, Please Contact:
Sandy Campuzano
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svcampuzano@gmail.com
913-381-5915
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Memory & Friendship Rose Selections |
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1 rose bush |
$ 25.00 |
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2 rose bushes |
$ 50.00 |
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3 rose bushes |
$
75.00 |
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1/4 rose bed |
$
125.00 |
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1/2 rose bed |
$
250.00 |
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Full rose bed |
$
500.00 |
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*Perpetual bed |
$
5,000.00 |
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*Not
available for online purchase. Please download our
hardcopy request form and /or personally contact us.
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Download Donation Form |
Before purchasing your Memory or
Friendship Rose, you must fill out the following information form
to help us process your request.
Instructions:
In the form below, please fill in all
appropriate blank spaces.
You can use your "TAB" key to forward through the boxes
or, your mouse pointer.
When typing, please do NOT use all UPPER CASE LETTERS;
use capital letters only where appropriate.
Once you have completed the
form to your satisfaction, click the SUBMIT button. You will
then be taken to our credit card / Pay Pal page where you can
complete your application.
Note that if you begin filling in the blanks on this page, and then visit another webpage before completion,
that you could risk loosing the data you have already imputed. Be prepared before you begin.
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