Flower Club Fax Completed forms to: 303-466-6629 Or Mail: Bloomfield Florist - 1000 Depot Hill Rd #G - Broomfield, CO 80020 The fresh smell and beautiful appearance of plants & flowers brighten up any room. Wouldn’t you love to have fresh plants & flowers at your home or office all of the time? Your customers and friends will really be impressed when you join the Bloomfield Florist Flower Club! Sign-up below, and we will automatically deliver a seasonable arrangement or plant on a schedule that works best for you. Choose from small, medium, or large arrangements & plants. This club is convenient, flexible, and a significant discount over buying individually. Start, stop, or change at any time, there is no commitment, no hidden fees. Call us with questions at 303.466.6628. Weekly Bi-Weekly Monthly $25.00 $30.00 $35.00 $35.00 $40.00 $45.00 $45.00 $50.00 $55.00 and include local delivery. Sales tax additional. Small (4”-6”) Medium (6”-8”) Large (8”-10”) *Prices are per arrangement/plant Choices: Quantity: Start Date: Size: Frequency: Type: __________ ____________ SMALL WEEKLY ALL PLANT MEDIUM BI-WEEKLY All FRESH-CUT LARGE MONTHLY ½&½ Weekly and Bi-Weekly Deliveries, choose a delivery day: MON TUE WED THU Monthly Deliveries, choose a week of the month: 1st 2nd 3rd 4th FRI SAT Contact Name:___________________________________________________________ Company Name:__________________________________________________________ Delivery Address:_________________________________________________________ Delivery City, State, Zip:____________________________________________________ Delivery Phone Number:____________________________________________________ Payment Method: Credit Card: #:_______________________________ Expiration:____________ Cardholder Signature:________________________________________________ th Invoice (terms: monthly, due 10 ): Pre-pay (mail check or money order with this form) we will calculate the length based upon your prepayment and remind you when it is time to renew.