Buyer's Name *

First Name

Last Name

Buyer's Phone:

(###)

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Recipient Name: *

First Name

Last Name

Recipient's Phone:

For use by the Delivery Service.

(###)

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Recipient Address: *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Flower Club Package *

Select the number of months:

Six Months

Twelve Months

Six Months ODD Months

Six Months EVEN Months

Flower Club Monthly Amount *

Amount spent per month for Seasonal Flower Arrangement. The dollar amount selected will determine the amount of flowers added to the arrangement. The larger the amount the larger the arrangement will be. You can check out our "Order" page to see examples of arrangements. Each month the actual flowers will vary depending on the season of the year.

$75.00

$100.00

$150.00

$200.00

Other amount: Please include amount requested in email submission.

Candle Option *

A Seasonal Candle with be packaged and sent along with the Seasonal Floral Arrangement

Add Candle to Flower Club Package, $17.50

Skip Candle Option

Delivery Fee *

A delivery fee of $19.50 is charged per month. The Flower Club package can be delivered to any city within the Twin Cities metro area.

Delivery Fee

Delivery Week *

What week during the month would you like the package delivered?

First Week

Second Week

Third Week

Fourth Week

Billing Address: *

Please enter your billing address:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Credit Card Authorization *

By checking this box you authorize Harvest Home to charge the credit card that was submitted each month to delivery the Flower Club package. You agree to all Terms and Conditions by Harvest Home. Sales tax will also be applied to your order.

I Authorize & Agree