Christmas Poinsettias

We will have a poinsettia tree in our church lobby again this year. If you would like to purchase a poinsettia to be included on the tree in memory or in honor of someone, please complete the form below by December 7. Each red poinsettia costs $10.

Name*

First NameLast Name

Mobile Phone Number*

Please enter a valid phone number.

Email*

example@example.com

How many Poinsettias would you like to order?*

# of Poinsettias

Total

Christmas Poinsettias*

USDChristmas Poinsettias

Credit Card

Person's Name in Honor or Memory of*

First NameLast Name

Are you purchasing a poinsettia in honor or in memory of this person?*

HonorMemory

2nd Person's Name in Honor or Memory of *

First NameLast Name

Are you purchasing a poinsettia in honor or in memory of 2nd person?*

HonorMemory

3rd Person's Name in Honor or Memory of*

First NameLast Name

Are you purchasing a poinsettia in honor or in memory of 3rd person?*

HonorMemory

4th Person's Name in Honor or Memory of*

First NameLast Name

Are you purchasing a poinsettia in honor or in memory of 4th person?*

HonorMemory

5th Person's Name in Honor or Memory of*

First NameLast Name

Are you purchasing a poinsettia in honor or in memory of 5th person?*

HonorMemory