Use the form below to register for Katie’s Klub, Register for a workshop or class, or order a seasonal arrangement.

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What type of order are you making today? *Signing up for Katie's Klub and Purchasing an Arrangement - $75.00Active Katie's Klub Member - Ordering a Seasonal Arrangement - $0.00Not a Katie's Klub Member - Purchasing a One-Time Arrangement - $0.00Registering for a Workshop - $95.00

Birthday

Anniversary

What seasonal/special occasion bouquet are you ordering? *Valentine's BouquetMother's Day BouquetThanksgiving BouquetWinter Holiday BouquetBirthday Bouquet (Requires 3 days notice)Anniversary Bouquet (Requires 3 days notice)

What seasonal bouquet are you ordering? *Valentine's BouquetMother's Day BouquetThanksgiving BouquetWinter Holiday Bouquet

Katie's Klub - What size arrangement would you like to order today? *

• Large Arrangement - $76 + 9.5% Sales Tax - $83.22
• Medium Arrangement - $56 + 9.5% Sales Tax - $61.32

notes - PayPal

What size arrangement would you like to order today? *

• Large Arrangement - $95 + 9.5% Sales Tax - $104.03
• Medium Arrangement - $75 + 9.5% Sales Tax - $82.13

Pickup or Delivery?

• Deliver to Healdsburg Hospital, Healdsburg-Pacifica Community; or Enso Village Retirement (Free delivery to those locations) - $0.00
• Standard Delivery within Healdsburg - $25.00
• Pick-up - $0.00

Delivery Address

Address Line 1

Address Line 2

City

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Zip Code

Please indicate date and approximate time of pick-up

What workshop are you registering for? Please detail the class name, day and time. *

Pleae detail any specific requests for the arrangement, or leave any other notes or comments here: *

Total

Order Summary

Item	Quantity Qty	Total
There are no products selected.
What type of order are you making today? - Signing up for Katie's Klub and Purchasing an Arrangement	1	$75.00
What type of order are you making today? - Active Katie's Klub Member - Ordering a Seasonal Arrangement	1	$0.00
What type of order are you making today? - Not a Katie's Klub Member - Purchasing a One-Time Arrangement	1	$0.00
What type of order are you making today? - Registering for a Workshop	1	$95.00
Katie's Klub - What size arrangement would you like to order today? - Large Arrangement - $76 + 9.5% Sales Tax	1	$83.22
Katie's Klub - What size arrangement would you like to order today? - Medium Arrangement - $56 + 9.5% Sales Tax	1	$61.32
What size arrangement would you like to order today? - Large Arrangement - $95 + 9.5% Sales Tax	1	$104.03
What size arrangement would you like to order today? - Medium Arrangement - $75 + 9.5% Sales Tax	1	$82.13
Pickup or Delivery? - Deliver to Healdsburg Hospital, Healdsburg-Pacifica Community; or Enso Village Retirement (Free delivery to those locations)	1	$0.00
Pickup or Delivery? - Standard Delivery within Healdsburg	1	$25.00
Pickup or Delivery? - Pick-up	1	$0.00
Total		$75.00

$0.00

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