Poinsettias Fundraiser
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Dedication type:
*
In memory of _______________.
Donated by _______________.
Name for the dedication: In memory of ________.
Name for the dedication: Donated by ________.
I will pick up my poinsettias:
*
On Sunday after church
Sunday December 22 (between 6 and 7 p.m.)
How many will you buy?
*
prev
next
( X )
Poinsettia
$
25.00
Quantity
Item subtotal:
$
0.00
Submit
Should be Empty: