Adopt a Tree or Wreath Order Form

Support Christmas In Ephrata!

Adopt the Lighted Trees or Wreaths for the Holiday Season
Name*
Address
Phone
Email*
example@example.com
Acknowledgement for Plaque (Choose one from the list to go on the plaque)*

In Honor ofIn Memory ofAdopted byNO acknowledgment; just the name listed below.Anonymous
Name for plaque
Example: The Smith Family, The Smith's, Sue & Joe Smith etc.

My Products

Adopt a Wreath

$35.00 Quantity

Adopt a Tree

$125.00 Quantity

Total

$0.00

Credit Card

How did you hear about the Adopt a Wreath/Tree program?

Social MediaNewspaperWebsitePreviously AdoptedOther
If you prefer to pay by check, Print form & MAIL COMPLETED FORM & PAYMENT TO:

Mainspring of Ephrata 16 East Main St. Ephrata PA 17522

Makes checks payable to: Mainspring of Ephrata
Should be Empty: