all information is sent along secure servers and used only for DBD marketing purposes- never sold. All persons' information in the form are optional, fill out whatever reminders
you want to have. Get a free flower bouquet and Godiva chocolate just for filling out this form!
Reminder Service Registration
Free flower bouquet just for filling out this form!
* Required Field
Self
Parents
Your name:
Dad's
name
Mom's
name
*
Your
phone:
 Dad's
phone
Mom's
phone
*
Dad's
birthday:
Mom's
birthday:
*
 Email:
Birthday:
Dad's
Email:
Mom's
Email:
Anniversary
Parents'
Anniversary
Spouse/Partner
remind me by: phone call and/or email
remind me by: phone call and/or email
Spouse,
Partner:
Spouse,
Partner
phone:
remind Dad by: phone call and/or email
remind Mom by: phone call and/or email
Spouse,
Partner
birthday:
Person #1
 Person #2
Email:
friend
child
friend
child
Spouse
Mom
birthday:
name
name
phone
Spouse
Dad
birthday:
 phone
birthday:
birthday:
In-laws'
Anniversary
Email:
Email:
remind me by: phone call and/or email
Anniversary
Anniversary
remind them by: phone call and/or email
remind me by: phone call and/or email
remind me by: phone call and/or email
remind them by: phone call and/or email
remind them by: phone call and/or email
Questions, comments, or feedback on our
website:
 Send my free flower bouquet:
Card message:
If you are entering the reminder service as result of the flower club membership;
your free flower bouquet will be added to your flower club, resulting in 13 months of
flower club membership.

Designs by Doe Columbus Florist and Zen Gifts:
reminder service

reminder service