Poinsettia Order Form
Support our Love Unlimited/High School Mission Trip with the purchase of a poinsettia for your home or office! Available in 6.5" and 8" sizes and 4 colors: red, white, pink and marble. In Honor & In Memory poinsettias will adorn our sanctuary during Advent. All other poinsettias will be delivered on or about December 4th.
In Honor/ Memory Poinsettias
6.5" Red ONLY. Complete in honor/ memory details below. Maximum of 6 per submission. Please complete an additional submission for 6+.
6.5" Red Honor/ Memorial ($18)
6.5" Poinsettas
$18 each
6.5" Red
6.5" White
6.5" Pink
6.5" Marble
8" Poinsettas
$25 each
8" Red
8" White
8" Pink
8" Marble
Total ($)
Manual Entry Code (office use only)
Total w/ Coupon
Total Payment Due
Student to receive credit
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DIVIDE AMONG STUDENTS
Jon Bailey
Allie Brandenburg
Chloe Burdyck
Ethan Bussey
Lilly Dial
Andrew Douglas
Jules Edenfield
Olivia Ehntholt
Sumter Folley
Paige Geigle
Chapman P. Godwin
Gainer Godwin
Anna Griffin
Kaitlyn Henson
Grady Kelley
Caroline Kennedy
Noah Knight
Henry Knox
George Lawson
Hannah Liebel
Morgan Lokey
Grace MacGilvray
Josie Miller
Ellie Morgan
Evie Neal
Trace Neal
Jane Marshall O'Dell
Patrick Owen
Harry Pendergrass
Kate Peterson
Cannon Poteet
Saylur Prince
Marco Pryor
Myles Sandlin
John Scoggins
Andrew Van Alstine
Forrest Walker
Lily Grace Yawn
Additional Information for In Honor/ Memory Poinsettias
(1) In Honor/ Memory of
Please Select
In Honor of
In Memory of
(First and Last Name)
By (First and Last Name)
2 poinsettia
(2) In Honor/ Memory of
Please Select
In Honor of
In Memory of
(First and Last Name)
By (First and Last Name)
3 poinsettia
(3) In Honor/ Memory of
Please Select
In Honor of
In Memory of
(First and Last Name)
By (First and Last Name)
4 poinsettia
(4) In Honor/ Memory of
Please Select
In Honor of
In Memory of
(First and Last Name)
By (First and Last Name)
5 poinsettia
(5) In Honor/ Memory of
Please Select
In Honor of
In Memory of
(First and Last Name)
By (First and Last Name)
6 poinsettia
(6) In Honor/ Memory of
Please Select
In Honor of
In Memory of
(First and Last Name)
By (First and Last Name)
Buyer Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Billing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is delivery address same as billing address?
*
Please Select
Yes
No
N/A (all In Honor/ Memory)
Deliver Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Payment Amount ($)
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