Christmas Poinsettia Order Form
If you are interested in purchasing Christmas Poinsettias, please complete this form. Payment can be mailed to the church or dropped off in the offering plate at an upcoming service. The deadline for orders is December 7th and flowers can be picked up on Christmas Eve.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Number of Poinsettias ($10 Each)
*
1
2
3
4
5
6
7
8
9
10
Include the information you would like listed for each of your flowers:
*
Example: In Memory of John Smith by Joe Smith, In Honor of Mary Smith by Dan Smith, In Appreciation of Our Children by Gary & Nancy Smith, Etc.
Would you like your email address added to our church e-mail list
*
Yes
No
Already On The E-Mail List
Include Any Additional Information Below
Submit
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