Dried Floral Pumpkin Order Form

Name *

First Name

Last Name

If gifting, name of the person the pumpkin will be delivered to/will pick up

First Name

Last Name

Phone *

(###)

###

####

Would you like it delivered? *

If yes, include address below

No-I'll pick up

Yes

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Pick up at the farm: 191 Pelham Hill Rd, Shutesbury *

Yes

No, having it delivered

When do you want your pumpkin? *

Farm pick up hours: 10:00am-5:00pm Delivery hours: 11:00am-6:30pm. (Unless otherwise requested)

ASAP

Sunday, October 5

Sunday, October 26

Sunday, November 9

Sunday, November 23

Other: specify below

Size of Pumpkin *

Small~ 3lbs

Medium~ 4-6lb.

Large~ 6-8lbs.

Multiple Pumpkins: stacked

Floral Adornment Size *

Minimal ~ about half the top of the pumpkin covered ($25-$50 based on size)

Moderate ~ whole top of pumpkin covered. ($35 to $100 based on size))

Full ~ whole top and some covered on the sides. ($75-$150 based on size))

Designers choice

Floral Color Pallet *

Classic Fall: Oranges, reds, yellows, dark purple, etc.

Bright fall: all colors found outside, bight and beautiful.

Romantic: Maroons, dark purples, silvery green with warm neutrals

Spooky Seedpod & Grasses: not everything has to be made up of flowers to be beautiful. Sure to wow.

Blue and Orange: a different kind of fall feels

Other: please write your desired color pallet into the textbox at the end of the form :)

Designers choice: allows us to use the best judgement to create your masterpiece ol

Pet-Friendly?

Yes

No

How much would you like to spend? *

$35 or under

$35-$50

$50-$75

$75-$100

$100 or above

No specific budget, looking for a beautiful pumpkin