Mission Funeral Packages | Ben White Florist

Funeral Package Order Form

For Mission Funeral Home staff only: Please fill out the form to order. Our staff will confirm the order with you by email or phone. Thank you!

Your Name*
First Last
Your Email*
DATE of requested DELIVERY to FUNERAL HOME (required)*
MM slash DD slash YYYY
TIME of requested DELIVERY to FUNERAL HOME (required)*

: Hours

Minutes

AM/PM
Name of Deceased (required)*
First Last
Location of Service (required)*
Package Selection (required)*
Casket Spray ONLY
If choosing Rose or Carnation Package, What is the color preference?
Banner Info:

Adding a banner to your order is .75 per letter.
Enter text for ribbon:
Choose ribbon color
Notes
CAPTCHA
Product Name Quantity
Price: $0.00
Option

Mobile version: Enabled

Back to top

Social media & sharing icons powered by UltimatelySocial