Florist Program Sign-Up

Thank you for your interest in Floral Select™. To connect your flower shop to the local funeral home in your area, we will need the following information completed.

Contact Information

Your Name(Required)

Florist Name(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Business Phone(Required)

Business Email(Required)

Hours of Operation(Required)

Please provide us with your regular business hours.

Delivery Information

Zip Codes Serviced & Delivery Fee for each Zip Code(Required)

Please list all zip codes serviced by your floral shop, and what each delivery fee is per zip. Click "+" to add more zip codes.

Zip Code

Delivery Fee

Lead Time for New Orders(Required)

Please specify the required lead time for any new order to be fulfilled.

NOTE: We will send you an email and text message when new orders are placed. Please enter contact Information for New Order Notifications:

Order Notification Email(Required)

Preferred email for order notifications:

Mobile Phone - Orders(Required)

Mobile number for text message order notifications:

In order to complete your store set-up, we will also need a W-9 for your business along with a completed payment authorization file. Your Floral Select representative will be able to send you the payment form. Once the above information is submitted, your Floral Select representative will contact you to complete set-up of your online store. For additional help, please contact our support team at 317.434.0373 or click to email us.

In the meantime, if you're curious what this all looks like set-up on a funeral home website, take a peek here!

Finally, flowers done right!

Contact Information

Delivery Information