Poinsettia Order Form
Please fill out this form and click submit.
Cost per plant is $11.00.
Please have your order to the church by Sunday, November 16. You can pay by check, cash or using this
giving link (be sure to include $11 per flower and cover fees)
.
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Number of Red
*
Please select one option.
None
1
2
3
Select Option
None
1
2
3
Number of White
*
Please select one option.
None
1
2
3
Select Option
None
1
2
3
Number of Marble
*
Please select one option.
None
1
2
3
Select Option
None
1
2
3
Dedication (In Honor Of, In Memory Of, etc.)
*
Submit
Description
Please fill out this form and click submit.
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