Name *

If this is a gift please list the name of the person placing the order. Then write the name of the one receiving the gift in the bottom 'Comments' section.

First Name

Last Name

Phone

(###)

###

####

Preferred Date *

Please list the event date even if flowers will be shipped in the following days. To make a last-minute booking for an event that has already passed please put tomorrow's date.

MM

DD

YYYY

Do you give consent for your floral story to be posted on the website or other promotional material? *

Yes, I consent to writing a blurb about this meaningful floral moment. I consent to posting the blurb on the website or other promotional content. I will also email over a picture of the day which can be used along with the blurb.

Yes

No

We can discuss further

What services are you interested in? *

Taxes Included in Listed Prices Minimum Purchase Order $150

Ornament $35 as add-on

Ornament $150 for 3 if whole order

Tealight Holder $50 as add-on

Tealight Holder $150 if whole order

Ring Holder $50 as add-on

Ring Holder $150 if whole order

Coasters $100 for 4 if add-on

Coasters $150 for 4 if whole order

Coasters $150 for 6 as add-on

Coasters $200 for 6 if whole order

Jewelry Dish $75 if add-on

Jewelry Dish $150 if whole order

Picture Frame $100 if add-on

Picture Frame $150 if whole order

Trinket Dish and Lid $100 if add-on

Trinket Dish and Lid $200 if whole order

Sphere $150

Cube $150

Standing Heart 5" $300

Standing Heart 9" $450

Standing Circle 9" $500

Standing Circle 7.5" $400

Standing Circle 6" $350

Hexagon 11" $600

Hexagon 9" 500

Hexagon 5" $300

Book Ends $400

Arch 10" $500

Arch 8" $450

Arch 6" $400

Standing Cross $300

Wall Hanging $400

Square 10"x 10" $550

Square 8"x 8" $450

Square 6"x 6" $350

Jumbo Letter 9" 1 Letter $450

Jumbo Letter 9" 2 Letters plus Ampersand $800

Rectangle 12" $550

Rectangle 10" $500

Rectangle 8" $450

Serving Tray $400

Side Table $700

Added Objects *

Please list if you know ahead of time that there will be objects added to your piece. If you are not sure please email B.my.resin@gmail.com and let us know about the objects that are being shipped with the flowers so they don't accidentally get misplaced with the packaging. Remember there is a charge of $20 for any notes of pictures that arrive without first being laminated.

None

Picture

Keepsake

Lace

Medal

Ashes

Hair

Ceramic Foot/Hand

Note

Backing Colour *

Please Find the colour swatches on the Just Resin website

None

Carolina Blue

Navy Blue

Silver Lilac

Dusty Pink

Carbon Black

Request unlisted colour