Daffodil Days Order Form

Bunches - $8 each
10 flowers per bunch

Vases - $5 each

Make a Donation:

I would like to make the following tax-deductible donation to Presbyterian Home Healthcare & Hospice:

Getting your Order:

Would you like to pick up your order or have it delivered to an address in the Albuquerque/Rio Rancho Area?

Delivery - $10
(Free for orders $100 or more!)

Pick up - $0
(On Friday, March 22, 9 a.m. to 4 p.m.)

Orders will be delivered on Thursday, March 21 (9 a.m. to 5 p.m.).

Is your delivery location in the Albuquerque/Rio Rancho area?

Yes

Pick-Up:

I will pick up my order on Friday, March 22 between 9 a.m. and 4 p.m. at one of the following locations. Orders not picked up by 4 p.m. will be donated to hospital patients.

Presbyterian Hospital (Lobby)
1100 Central SE

Presbyterian Kaseman Hospital (Main Lobby)
8300 Constitution NE

Presbyterian Northside (Lobby)
5901 Harper NE

Presbyterian Medical Group Rio Rancho (Lobby)
4005 High Resort Blvd, Rio Rancho

Presbyterian Rust Medical Center
2400 Unser Blvd. SE, Rio Rancho

Presbyterian Medical Group in Santa Fe
454 St. Michael's Dr., Santa Fe

Presbyterian Employees Only
Presbyterian Rev. Hugh Cooper Admin. Center
9521 San Mateo NE

Delivery:

Name (Contact):*

Business (if applicable):

Address:*

City:*

State:*

ZIP Code:*

Nearest Cross Streets:*

Phone:* (###-###-####)

Email:*

Delivery

Don't Have an Account?

Order arrangements, flowers, and vases:

Make a Donation:

Getting your Order:

Pick-Up:

Delivery:

Special Instructions: