ORDER FORM – PLEASE PLACE AN “X” BY ALL APPLICABLE CHOICES

Arrangement is for: Male_____ Female _____ Child _____ Infant______ Two Person Headstone _____

Vase or Basket Arrangement

Basket - ____________   Vase - ____________

__________     Large                          $50.00

__________     Medium                     $40.00

Saddle Arrangement

__________     Extra-large $55.00

__________     Large                          $45.00

__________     Medium                     $40.00

Seasonal/Special Occasion Arrangement – Three (3) Per Year

Arrangements would be placed three times per year on your specified dates of choice (such as Memorial Events, Mother’s Day, Father’s Day, Veteran’s Day, Anniversary Date, Birthday of Loved One, Christmas, etc.) and would be custom designed for the desired special occasion or season with the dates of your choosing.  This option would be provided at a cost savings to you and would insure that your loved one has flowers at their gravesite during the year. 

Vase or Basket Arrangement

Basket - ____________   Vase - ____________

__________     Large                          $120.00

__________     Medium                     $105.00

Saddle Arrangement

__________     Extra-large                 $150.00

__________     Large                          $120.00

__________     Medium                     $105.00

__________     Small                          $  90.00

__________     Infant                         $  60.00

PLEASE LIST THREE DATES FOR DELIVERY AND OCCASION  (IF DESIRED):

DELIVERY DATE #1 - ________________ OCCASION - __________________

DELIVERY DATE #2 - ________________ OCCASION - __________________

DELIVERY DATE #3 - ________________ OCCASION - __________________

DELIVERY INFORMATION:

NAME(S) ON HEADSTONE _______________________________________________

BIRTHDATE OF DECEASED (IF KNOWN) __________________________________

NAME AND LOCATION OF CEMETERY ___________________________________

 

FOR FIRST TIME DELIVERY – IF YOU KNOW THE EXACT OR APPROXIMATE LOCATION OF GRAVESITE AT THE CEMETRY, PLEASE LIST THIS INFORMATION.

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FOR DELIVERY OF CONFIRMATION PICTURE, PLEASE LIST YOUR E-MAIL ADDRESS OR POSTAL ADDRESS.

______________________________________________________________________________

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IF YOU HAVE A SPECIAL REQUEST SUCH AS COLOR PREFERENCE, OR WOULD LIKE TO PROVIDE MORE INFORMATION ABOUT YOUR LOVED ONE SO I WILL KNOW YOUR DESIRE REGARDING THE ARRANGEMENT, PLEASE FEEL FREE TO SHARE THIS INFORMATION WITH ME.

______________________________________________________________________________

PAYMENT MUST BE INCLUDED WITH ORDER SHEET OR IF ORDER IS PLACED BY PHONE OR E-MAIL MUST BE RECEIVED BEFORE DELIVERY.  ALL CHECKS ARE TO BE MADE PAYABLE TO “Consider the Lillies”

Free Delivery if made to one of the following cemeteries: New Friendship, New Liberty, Providence, Lafe Luthern, St Mary’s, Hartsoe, Linwood, Shiloh or Memorial Garden in Paragould.

                           FOR ALL OTHER DELIVERIES – PLEASE ADD $5.00

IF THE SEASONAL/SPECIAL OCCASION – THREE (3) DELIVERIES PER YEAR

                               PACKAGE IS CHOSEN, A DELIVERY FEE OF ONLY $10.00 WOULD BE ADDED

                          FOR TWO OF THE DELIVERIES – THE THIRD ONE IS FREE.

                                PLEASE MAIL PAYMENT AND ORDER FORM TO:

“Consider the Lillies”

Debra (Sparks) Breckenridge

3498 Greene 514 Road