Phillip's Flowers & Gifts — Funeral Director Order Form

This is a secure form for use by funeral directors only. All information is confidential. Once your order is processed, we will send you an order confirmation by email or fax. If you need further assistance, please call 630-719-5156.

Due to seasonal and supply chain limitations, some flowers are not always available. To ensure timely deliveries of the best products possible, reasonable substitutions may be necessary in some cases.

01. Delivery Schedule

Deliver On *

By Time

02. Ordering Funeral Home & Arranger

Funeral Home Ordering *

Account # * Digits only

Address *

City/Town *

Contact Person/Arranger *

Phone *

Fax

03. Service & Delivery Destination

Deceased Name *

Gender *

Male Female

Deliver To *

Address *

City/Town *

State *

Phone *

04. Funeral Piece(s) Requested

* Ribbon Script is $10 each — please add to item price

Total Quantity:

Total Price:

Special Requests / Instructions:

If you have difficulty submitting an order, try removing special characters like @ " % [ ] / < > = $ ?.

** Applicable tax and delivery will be added when your order is received and reflected on the confirmation we send you.

Sympathy Piece Abbreviations

CS = Casket Spray

SS = Standing Sympathy Arrgmt.

EP = End Piece

ES = Standing Easel Spray

FL = Floor Arrangement

SC = Standing Flower Cross

FS = Fireside Basket

FH = Standing Full Flower Heart

TA = Table Arrangement

OH = Standing Open Heart

SH = Satin Heart w/ Cluster (Inside Casket)

RO = Rosary of Roses

BP = Blooming Plant

GP = Green Plant

FUNERAL FLOWERS ORDER

01. Delivery Schedule

02. Ordering Funeral Home & Arranger

03. Service & Delivery Destination

04. Funeral Piece(s) Requested

Sympathy Piece Abbreviations