Consultation Form Stephanie's Greens-N-Things - West Hazleton, PA, 18202

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Stephanie's Greens-N-Things
6 N Broad St, West Hazleton, PA 18202
Toll Free: 844-628-4114
Local: 570-454-0352

Weddings » Consultation Form

* Required

*Bride's Name:

*Groom's Name:

* Phone #:

Alternate Phone #:

* E-mail Address:

Wedding Date:

Ceremony Time:

Ceremony Location:

Reception Time:

Reception Location:

Delivery or Pickup: Delivery Pickup

Number in Wedding Party: Men: Women: Children:

Total Floral Budget:

Appointment Request Time:

Appointment Request Date:

How did you hear about us?:

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