reminder service;
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 LLC, Local and Specialty Florist in Columbus Ohio
1110 Michigan Avenue, Columbus OH 43201 | (614) 795-9826

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Columbus florist, reminder service

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