Love is a Rose... For Memory or Friendship For Any Occasion
Online Purchase
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Please scroll down to see our online application form. But first, please review the following information carefully.
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Questions? Contact Sandy Campuzano
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Step 1 - decide if you want to purchase one or more rose bushes.
*Perpetual bed donation must be purchased
by hard copy form only! Or, contact us.
by hard copy form only! Or, contact us.
Step 2 - Review the following information carefully for the best experience.
NOTE: If using a "cell phone," you can also use your finger to move the this content Left to Right. *We recommend using a computer.
NOTE: If you are using a computer at your "work place" to fill out the form, know that some office computer security systems and firewalls might not allow you to submit. If you try and cannot, then you must use a computer outside of your work place.
NOTE: If you are using a computer at your "work place" to fill out the form, know that some office computer security systems and firewalls might not allow you to submit. If you try and cannot, then you must use a computer outside of your work place.
- Once you begin filling in the form fields, do NOT visit another web page before completion; doing so could cause the loss of the data you have already provided. Be prepared before you begin.
- When typing in your information, please do NOT use all UPPER CASE letters; use capital letters only where appropriate.
- If using an "auto fill" feature to populate the name and address form fields, please make sure the fields fill accurately.
- 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.
- If, after clicking the Submit button, a RED screen appears... go back and review; you have inadvertently failed to provide a response in a "required" field. Provide the missing information and then click Submit again.
NOTE that if your web browser has recently auto-updated (including Chrome users) you might need to reset your permissions for "Pop-up" and "Redirect" to a page permissions in your browser to successfully submit the form. Per this issue, if we see a payment does not follow your order, we will contact you with a work-around.
Fields that require a response *
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