2024 Poinsettia Sign-up
Please fill out this form and click submit.
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Quantity
*
Please select one option.
1
2
3
4
5
Select Option
1
2
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4
5
In honor of
In memory of
IMPORTANT! If you would like to pay ONLINE via Credit Card, enter your total in the Payment box.
1 poinsettia = $15
2 poinsettias = $30
3 poinsettias = $45
4 poinsettias = $60
5 poinsettias = $75
If you wish to pay by check, DO NOT ENTER A PAYMENT and simply send your check to the church with POINSETTIAS in the memo line.
If paying by credit card, enter your total here:
After Christmas Eve:
*
Please select all that apply.
Please deliver my poinsettias to a shut-in.
I will pick up my poinsettias.
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