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HaidyO Flowers & Balloons

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First Name

Last Name

Email

Phone

Type of Event or Celebration

Company (corporate customers)

Name of Event Venue or Celebration

Address of Event Venue

Date of Event

Start Time of the Event or delivery time needed

End Time of the Event

Numbers of Days needed if more than 24 hours

Name of the Event Coordinator or person in charge of installation on the date of the event (if any)

Email of Event Coordinator or person in charge of installation for date of event

Phone # of the Event Coordinator or person in charge of installation on the date of the event

Name of Videographer

Name of the Florist

Please let us know how we can help you

How will you be paying?

Paypal

Credit Card

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