WILSON FARM CORSAGE & BOUTONNIERE ORDER FORM

Event Date:Pickup Date:Pickup Time:

Customer Name:Customer Phone #:Order Taken By: Today’s Date:

Standard Corsage (Spray Rose)

Premium Corsage (Spray Rose)

Deluxe Corsage

$25

$30

$35

Flower Choices:• Mini Carnations•Babies Breath•Waxflower•Israeli Ruscus•Pittisporum•Hydrangea (Light Blue, Shocking Blue, Mini Green, and White)

•Eucalyptus•Green Trick•Golden Aster•Hypericum

Flower Choices: Recommended•Hydrangea (Lime Green)•Freesia•Thistle•Larkspur•Lavender•Heather•Lisianthus

All Corsages Include Greens, Elastic Wrist Band, and Choice of Flower

NOT Recommended*•Orlaya Lace•Queen Anne Lace•Astilbe•Aster Monte Casino•Phlox•Muscari

*These flowers are available for corsages and boutonniere’s, but are not recommended either due to their delicate nature or propensity to wilt quickly once out of water

Quantity Needed: _______________

Quantity Needed: _______________

Flower Choices:Recommended•Mini Calla Lily•Bella Donna•Hybrid Delphinium•Dendrobium Orchids•Mokara Orchids•Cymbidium

NOT Recommended*•Lily of the Valley•Alstromeria•Heleborous•Peony•Hyancinth•RanunculusQuantity Needed: _______________

CORSAGES

Premium Add-Ons Wrist Bands

ElasticPearl PremiumPremium

Rock Candy Premium(Your Choice of Black or Rose Gold)

.......................Included....................$6

..............................$7

........$12

PreparationGlueWire

.......Included...............$10

Add a Premium Wrist Band To Any Deluxe or Premium Corsage for only $5!

Flower Color Requested: _______________

Flower Color Requested: _______________

Flower Color Requested: _______________

Ribbon Color Please consult the ribbon color guide and circle

your choice belowRed

YellowLt. Yellow

LimeMoss

Lt. Blue

RoyalNavyPlum

PurpleLt. Purple

Lt. PinkPink

Hot PinkIrridescent

WhiteIvorySilverBlack

PLEASE CIRCLE ANY

SELECTIONS!

Go Over The Top Without Breaking The Bank Our MAX PRICE is only $45!

• Flower Choice Subject to Seasonality and Availability •

Standard Boutonniere - Rose

$10Circle Any STANDARD Flower

Quantity Needed: ________

Premium Boutonniere

$15Circle Any PREMIUM OR

DELUXE Flower

BOUTONNIERES

Quantity Needed: ________

Add a Ribbon Wrap for Only $3Ribbon Color ___________________________________

Any Special Requests? We’ll See What We Can Do!__________________________________________________________________________________________________________________________________________

ORDER BREAKDOWN (OFFICE USE ONLY)

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Pricing:Corsage: $_______________

Add-Ons: $____________Boutonniere: $____________

Add-Ons: $____________

TOTAL COST : $___________

Receipt:

Flower Color Requested: _________ Flower Color Requested: ________

Order Your Corsage and Boutonniere Together and Save 10% off the Combined Price!

Buy Together and Save!

10 Pleasant St. Lexington, MA • 781.862.3900 • WilsonFarm.com

PLU Code:___________