Poinsettia Order Form
Orders Due Sunday, December 8
Your Name:
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Where do you attend worship?
*
Sanctuary
Worship Center
Payment Method
*
Cash/Check dropped off in the office
Electronically through fairmountcc.org/giving (Fund-Poinsettia)
Flower Order
*
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next
( X )
Poinsettia
$
15.00
Quantity
0
1
2
3
4
5
Item subtotal:
$
0.00
Enter "Given By" information as you'd like it to appear.
Enter "In Memory Of" or "In Honor Of" information as you would like it to appear.
Please mail me a printed copy of the memorial/honorarium information.
*
Yes
No
To receive a printed copy, please provide your mailing address.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
Should be Empty: