Contact Us

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

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

Memory Flowers:

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!