THIS FORM IS FOR WREATH ORDERS FOR 2025

 

Note: WAA price increase to $17 per Wreath

Please take a moment and fill out the order form below. Click the SUBMIT button at the bottom of the form when completed.

Once you have submitted the order form information, then proceed to the Buy Now button.

Name *
Complete Address *
City *
State *
ZIP Code *
Phone Number *
E-mail *
Number of Wreaths you wish to order *
If wreath is to be placed at a specific gravesite, please provide the following information. For multiple specific grave site wreath placements, add additional names here with gravesite numbers from Locator
May We Publicy Acknowledge Your Donations?
Where Did You Hear About Barrancas Wreaths
Other:
Do You Plan to Pick Up Your Wreaths?