Buying wholesale from Virna Farm! If we have not been in contact for wholesale license information please call before filling this out. This is more of an order form. Name * First Name Last Name Email * Phone (###) ### #### What receiving method would you like? Delivery Pick up Preferred Date MM DD YYYY How did you hear about us? Option 1 Option 2 Message * Please list what flowers you are looking for in this order. Day of the week for delivery or pick up? Tuesday Wednesday Thursday Thank you!