Designs by R
Specializing in Weddings and Special Events
Rates And Services
Custom Prom Order Form
Designer Pkg Prom Order Form
Please complete the form below for the Designer's Choice original creation!
* Denotes required fields
Phone Number with Area Code
Additional Phone Number with Area Code
Name of person picking up the flowers
Which Prom will you be attending. Orders must be picked up between 9 am and Noon on the day of the prom you will be attending
St. Michael-Albertville - May 11th
Rogers - May 4
Elk River - May 11th
Dress and Tux Color schemes - Please describe to the best of your ability
Are there colors you prefer NOT to be used?
Corsage - Select One
Queen Corsage - $35.00
Princess Corsage - $25.00
Duchess Corsage - $20.00
Boutonniere - Select One
King Boutonniere - $15.00
Prince Boutonniere - $10.00
Duke Boutonniere - $8.50
Theme of your order (choose one)
Daring (bold, brave, adventurous)
Romantic (soft, gentle, quiet)
Flamboyant (colorful, loud, flashy, glitzy)
Boutonniere Stem Style Extra Embellishments
Ribbon Wrap (matching ribbon to the corsage ribbon) - $1.00 Additional Charge
Curled - No additional charge
Silver Rock-It Vessel with Magnetic Disc - $9.00
24 Karat Gold Rock-It Vessel with Magnetic Disc - $9.00
Easy Pin - $3.95
Rhinestone Spray ($1.50 per spray) - 1 included with Queen Corsage & King Boutonniere
Black Light Blue
Clear - Silver Stem
Fuchsia (Dark Pink)
Crystal - Gold Stem
How many (additional) Rhinestone sprays would you like in your Corsage
How many (additional) Rhinestone sprays would you like in your Boutonniere
Standard Elastic - No Added Charge
Pearl Classic White - $6.00
Pearl Classic Ivory - $6.00
Pearl Classic Ice - $6.00
Duchess Collection Sugar - $7.50
Duchess Collection Midnight - $7.50
Duchess Collection Champagne - $7.50
Rock Candy Dazzle - $11.50
Dainty Dazzle - $10.00
Glorious Dazzle - $10.75
Princess Collection Silver - $6.25
Princess Collection Gold - $6.25
Sarina Collection White - $11.00
Sarina Collection Champagne - $11.00
Savannah Collection Ivory - $8.00
Savannah Collection White - $8.00
Dual Ribbon Embellishment in Corsage $1.00 additional charge (included with Queen Corsage)
Yes - $1.00
What color jewelry will you be wearing?
Additional information you would like us to know
How did you hear about us?
If you were referred by someone; please list their name here
Confirmation email will be sent within 24 hours with total due. *Orders must be paid for with cash, credit/debit card or check the day of pick-up (checks payable to Designs by Rita)
I Agree to pick up and make payment as stated
Cancellations must be made no later than 1 week prior to the prom you will be attending. Cancellations must be made via email.
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