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Domenic Graziano Flowers

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WEDDING CONSULTATION REQUEST

*Bride's Name

*Groom's Name

*Phone

*Alternate Phone

*E-Mail

*Wedding Date

*Ceremony Time

HH

MM

*Ceremony Location

*Reception Time

HH

MM

*Reception Location

*Comments

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Domenic Graziano Flowers

60 James Way #3

Southampton, PA 18966

(215) 355-1550 (800) 352-1550

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