Phillip's Flowers & Gifts

FUNERAL FLOWERS ORDER

This is a secure form for use by funeral directors only. All information is confidential. Once your order is processed, we will send you an order confirmation by email or fax. If you need further assistance, please call 630-719-5156.

Deliver On:
 
By Time

Funeral Home Ordering:
 
Account #

Address:
 
City/Town:

Contact Person/Arranger:
  
Email
 

Phone:
  
Fax
 

Deceased Name:
  
Male Female

Deliver To:
  

Address:
  

City/Town:
  
State
 

Phone:
  
  

Qty.

 

Item # or Description

 

Price Ea.

 

Card or Ribbon Script *

Color(s)
$
Color(s)
$
Color(s)
$
Color(s)
$
 
Total Pieces Subtotal **
 
Special Requests / Instructions:
  
 
* Ribbon Script is $10 each. Please add this to the item price to ensure your family's satisfaction.
** Applicable tax and delivery will be added when your order is received and reflected on the confirmation we send you.
 
 
CS = Casket Spray SS = Standing Sympathy Arrmgt.
EP = End Piece ES = Standing Easel Spray
FL = Floor Arrangement SC = Standing Flower Cross
FS = Fireside Basket FH = Standing Full Flower Heart
TA = Table Arrangement OH - Standing Open Heart
SH = Satin Heart w/ Cluster(For Inside Casket) RO - Rosary of Roses
BP = Blooming Plant GP = Green Plant