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 •Ranunculus Quantity Needed: _______________ CORSAGES Premium Add-Ons Wrist Bands Elastic Pearl Premium Premium Rock Candy Premium (Your Choice of Black or Rose Gold) .......................Included ....................$6 ..............................$7 ........$12 Preparation Glue Wire .......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 below Red Yellow Lt. Yellow Lime Moss Lt. Blue Royal Navy Plum Purple Lt. Purple Lt. Pink Pink Hot Pink Irridescent White Ivory Silver Black 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 •