A bouquet making apparatus comprises a plurality of bouquet forms movably supported at spaced locations along a conveying device. Each bouquet form includes fixed upper and lower stem supports that hold bouquet elements, such as flowers, at an angle with respect to vertical. As each bouquet maker travels along the conveying device, workers spaced along the conveying device sequentially insert sets of flowers into upper and lower stem supports until each bouquet maker hold a final bouquet set. Each of the final bouquet sets are removed from the bouquet form and secured with a fastener, thereby forming a plurality of twisted stem-type bouquets having a substantially identical design appearance.