Request a Shadow Flower Please fill out the form below if you would like a Shadow Flower for yourself or for a loved one. I look forward to hearing from you! *Pricing from $125 Name * First Name Last Name Email * Phone (###) ### #### Kind of Flower/s Colors to Include This section allows you to choose colors that would harmonize in your home or are important to you. I will include these colors in the piece, but also reserve artistic license with how much and where they are put. Choose Artwork Size 12x12 11x14 14x11 16x20 20x16 Name of Child If applicable Name of Parents Date of Loss or Significant Date A brass plaque is included with the finished artwork that can be hung beneath the piece. This date can be put on the plaque if desired. Address * This is where the piece will be shipped. Address 1 Address 2 City State/Province Zip/Postal Code Country Gift Card Code If applicable Thank you for your request! I look forward to getting back with you and working on your Shadow Flowers. Sarah Zobrist