Title of Client
Mr Mrs Miss Ms Other
Name of Client

Title of Company

Address of Client

Have you already got any price lists or Cd-Roms, Dvd's or brochures?
Yes No
If yes which ones do you have?

Telephone No.:

Fax No.:

E-mail Address

Date of Event
Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month 01 02 03 04 05 06 07 08 09 10 11 12 Year 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
Address of Venue

Room / Suite

Type of Event (Please select your preferred format)	Lunch
	Conference
	Dinner
	AGM
	Cocktail Reception
	Wedding
	Barmitzpha
	Batmitzpha

Floral Particulars

Floral Theme:

Colour Scheme:

Please send me out a:	Corporate and Events CD-Rom
	Wedding DVD Floral Collection

Please send me out a brochure:	Corporate and Events Floral Collection
	Party and Events Floral Collection
	Hilton Events Floral Collection
	Wedding Floral Collection

Approx Table Numbers:

Any other details we may find helpful:

Would they like a quotation:
Yes No

Would you like to meet with one of our consultants to view our portfolio for a more personalised service?:
Yes No

How did you hear about Designer Flowers?
Google MSN Friend Yahoo Other Internet Search Engine Teletext Radio Television Local Press Confex Other