Dance Order Form

Fill in the form below to send me your order.
Fields marked with * are required.

Step One:
Your Contact Information:

*Please make sure all of your information is up-to-date
*NO credit or payment information is required to place your order
*We will contact you before we process your order
*Pick-Ups/Will Calls are done the day of the dance!
*Orders placed with special requests, or "other" selections, may be subject to higher prices
*A conformation will be made via phone/e-mail to confirm the pick-up times, directions and order status
*This is fast and easy; however, orders need to be placed with at least a (2) day notice. Flowers are fresh, and this guarantees quality and availability
*All payments are handled upon pick-up

Last Name: *

First Name: *

Phone Number: *
- -

E-Mail Address: *

High School: *

Class Level: *

Step Two:
Your Dance Order(s):

*Note: Only one Corsage and Boutonniere per order.

*All Corsages and Boutonnieres include babies breath.
*Wrist Corsages have (4) roses and Boutonnieres have (1)
*Ribbon Color(s): Ribbon colors are generally solid. Ribbons are included with ALL wrist corsages.
*Boutonnieres do not come with a ribbon. If you desire one, make a special request in the space provided below.

Month: *              Day: *      Year: *


Wrist Corsage:   Rose Color:    Ribbon Color:

Boutonniere:     Rose Color:

Step Three:
Special Request(s) if any :

*Single stem Red Rose Bouquets are available upon request. Great gifts for the mothers of your date!
*Would you like to purchase a single stem red rose for $3.00? (If you do, please check the box below)

Single Stem Red Rose:

Special Request or Comments:

Prices: Corsages $20.00 - Boutonnieres $8.00 - Single Stem Red Rose Bouquet $5.00
All orders can be picked up the day of the dance between 12:00 P.M. and 3:00 P.M. at the location listed below.

C. M. Armstrong Designs
23352 Madero Suite J
Mission Viejo, CA 92691

Orders are to be paid in FULL upon pick-up. PLEASE try to bring exact change.
Cash, Personal Check w/ID, and Credit Card (Mastercard or Visa) are accepted.

If you need directions please click HERE! Fill out the address from in Map Quest. Thank you.

Dance Order Form

Serving Capistrano Valley Students Since 1989!