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?
*
Yes
Maybe 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 Myerstown
I 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
City
Please Select
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New Hampshire
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New York
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Pennsylvania
Rhode Island
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South Dakota
Tennessee
Texas
Utah
Vermont
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Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Preferred Date and Time
Submit
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