Poinsettia Fundraiser 2023

Poinsettia Fundraiser 2023

Please Complete this form to start your upcoming fundraiser
Please complete this short form to set up your fundraiser and schedule your delivery date with us.
Organization's Name*
Contact Information

At Layser's Flowers we keep this privileged information secure
Primary Contact Person / Organizer*
Contact Number*
E-mail*
example@example.com
Add another contact?*

YesMaybe Later
Contact Person 2
Contact Number
E-mail
example@example.com
Schedule Your Delivery

Let's mark something down on our calendar. This can be adjusted anytime just let us know.
How do you want to receive your Poinsettias?*

Deliver Them (Free for most orders over $300)We will pickup in MyerstownI will need to decide later
Delivery Place Name
e.g. Jackson Elementary School (enter "residence" if being delivered to a home address)
Delivery Address

Street Address

Street Address

CityState

Zip Code
Preferred Date and Time
Should be Empty:

Contact Information