Order Form

Valentine’s Day 2025

PLEASE NOTE: PICKUP LOCATION IS IN NEWARK, CA

Thank you for choosing La Petite Fleur for this Valentine’s Day! In order to curate the perfect bouquet please fill out this form below. You will be contacted through text regarding your order once the form is received. Should you have any questions, please text us at (510) 585-3270.

Sender's Name

First Name

Last Name

Sender's Email

Sender's Phone

For communication

(###)

###

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Sender's Zelle Account

Please provide us with your Zelle Account for charging purposes.

Bouquet Selection

If you desire a custom creation beyond our standard menu offerings, we are delighted to accommodate your request. Please select custom below and we will reach out to you via text.

Recipient's Name

First Name

Last Name

Message for Recipient's Card

Please keep under 4 sentences.

Pickup Date

Please select from the following pickup dates.

Valentine’s Day 2025

Order Form

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