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ORDER YOUR BACH FLOWER CUSTOM REMEDY OR REFILL
Text/call 716-803-3575 to arrange and pay for a custom
remedy
or refill or complete the form below. I will use this information to contact you with questions or updates regarding your order.
First Name
Last Name
Email
Phone
Best Method of Contact
Email
Text
Phone
Select Your Preference
Drops
Spray
A teaspoon of brandy is added to preserve your remedy. Please check below if you prefer alcohol free.
Alcohol Free
Please choose from below.
Create Your Own Remedy - w/ Curbside Pickup - $30
Create Your Own Remedy - sent via US Mail - $40
Refill Your Current Remedy - w/ Curbside Pickup - $30
Refill Your Current Remedy - sent US Mail - $40
Rescue Remedy - w/ Curbside Pickup - $15
Rescue Remedy - sent via US Mail - $20
Choose up to 6 flowers for your custom remedy
First Selection
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Second Selection
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Third Selection
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Fourth Selection
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Fifth Selection
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Sixth Selection
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Enter mailing address, or a message for Becky regarding pickup arrangements.
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I acknowledge that all payments are due prior to or at time of shipping or pick up. Payments accepted are: Cash, Check (if in person) or Venmo (@BeckyWisniewski), credit card, ApplePay and Paypal.
By clicking submit, you will advance to a checkout page. If you intend to pay via Cash, Check, or Venmo please select "offline payment" from payment options.
Submit Form
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