Form Test by Adventure Web | Nov 10, 2021 | Uncategorized Pick Up or Delivery?(Required) Pick Up Delivery Pick Up Date(Required) MM slash DD slash YYYY Same day online orders are accepted until 2:00pm. After that time, please call in your request to see if we can accommodate: 207-236-4147. Thank you!Pick Up Time(Required)A.M.P.M.Delivery Date(Required) MM slash DD slash YYYY Same day online orders are accepted until 1:00pm. After that time, please call in your request to see if we can accommodate: 207-236-4147. Thank you!Your InformationName(Required) First Last Phone(Required)Email(Required) Recipient InformationName(Required) First Last Phone(Required)Delivery Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please Note Delivery Fees: $10 fee – Rockport $12 fee – Camden, Rockland $15 fee – Hope, Lincolnville, Owls Head, Thomaston, Warren $18 fee – South Thomaston, Spruce Head, Union $20 fee – Appleton, Friendship, Searsmont, Saint George $25 fee – Cushing, Northport, Port Clyde, Tenants Harbor, Vinalhaven, Washington $30 fee – Waldoboro Arrangement Options- Valentine's Day RosesTo order roses for Valentine's Day or the week of, please select only from the dropdown below.Valentine’s Rose arrangementsSelect from Dropdown Options$85.00 - Vase: 1/2 dozen roses arranged with greens and filler$150.00 - Vase: 1 dozen roses arranged with greens and filler$70.00 - Paper: 1/2 dozen with greens and filler$120.00 - Paper: 1 dozen roses with greens and filler- Other Flower ArrangementsSkip this section for Valentine's Roses. For all other orders, complete the section below.*Other Floral options - Arranged In:Select from DropdownVaseWrapped in PaperColor Requests:(Required)Other Requests or Information (Style, Size, Occassion, Etc...):Is Fragrance Ok?(Required)YesNoBudgetVase$50.00$75.00$100.00Custom BudgetSelect Budget from Dropdown or Choose to Enter Custom BudgetCustom Budget (Optional) Enter Amount: ex. $85.00Wrapped In Paper$25.00$50.00$75.00$100.00CustomSelect Budget from Dropdown or Choose to Enter Custom BudgetCustom Budget (Optional) Enter Amount: ex. $85.00Card MessageCheckoutWould you like to add a Tip for the Team (Optional) Enter Amount: ex. $5.00Delivery Fee (starting at $10)(Required)Rockport - $10.00Camden, Rockland - $12.00Hope, Lincolnville, Owls Head, Thomaston, Warren - $15.00South Thomaston, Spruce Head, Union - $18.00Appleton, Friendship, Searsmont, Saint George - $20.00Cushing, Northport, Port Clyde, Tenants Harbor, Vinalhaven, Washington - $25.00Waldoboro - $30Select Town from DropdownSales Tax Price: $0.00 Total Credit CardCard Details Cardholder Name