Your Name:
Wedding Date:
Packages:
Rental Item(s):
Your E-mail Address:
Your Phone Number:
Questions/Comments:

ONLINE ESTIMATE REQUEST FORM

Please take a few moments to fill out the form below to receive a free estimate for your wedding flowers!  It is not required to
complete all questions. However, if you fill out as much as you can, you will receive  a more accurate estimate. Clazzy Designs
will not sell, trade or rent your personal information to others.

NOTE:We serve anywhere in the Quad City Area.  
Please contact us, if you are not sure about your location.
.  
Brides First and Last  Name:
Grooms First and Last  Name:
Street Address:
City, State, Zipcode
Email Address
Phone Number
Wedding date:
Floral Budget:
For the Bride
Style of Bouquet:
Color of Brides Dress:
Flower Type: please give as much detail
as possible for a more accurate estimate.
For Bridesmaids
Color of Bridesmaids Dress:
Number of Bridesmaids
Style of Bouquet:
Flower Type: please give as much detail
as possible for a more accurate estimate.
For Flowergirl
Number of Flowergirls
Color of Flowers:
Head Pieces:
Yes
No
Type of Flowers:
For the Groom
Type of Flowers:
For the Groomsmen and  the Ushers
Number of Groomsmen and Ushers:
Type of Flowers:
For the Ringbearer
Number of Ringbearers
Ages of Ringbearers
Type of Flowers:
Corsages for Mothers and Grandmothers
Boutonniers for Fathers and Grandfathers
Number of  Boutonniers;
Number of  Corsages:
Extra Corsages  and Boutonniers (helpers)
Number of  Boutonniers;
Number of  Corsages;
For Ceremony
Name of Church
(address and city please)
Type of Alter Flowers:
Alter Flowers:
Ribbon Style:
Pew Bows:
Unity Candle Arrangment:
Yes
No
Memory Flowers:
No
Yes
For the Reception
Name of Reception Hall
Estimated Number of Tables:
Number of Styles:
Guest Centerpiece style #1
Guest Centerpiece style #2
Guest Centerpiece style #3
Head Table and cake table Decorating:
Head Table Decorations:
Cake Table Decorations:
Cake Flowers and Style:
Cake Size and Style:
Other Decorating you would like done:
(Good details for accurate estimate)
Delivery and Setup:
How Did you hear about us?
If by a referral, please list the name of
the person, vendor or place
Thank you very much for your patient! We will respond to you within 5 business days from the time you submit this.
(Except weekends) If you do not receive your estimate within 5 days, please let us know.  ( Sometimes we do not
receive your submission due to the technical errors.)

For immediate assistance, please call us at (563) 323-5776.  Thank you!
Use this form to contact us to get more information about:
* Our company, products, or services.  
* Request a Date for Rental Items
* Questions on wedding flowers and/or packages
* Quote on wedding flowers.
* Chocolate Fountain rental
Contact Us
NEW!!

Online Estimate
within 5 business days
without driving to our location