Poinsettia Order Form
Add to the beauty of the Christmas season by sponsoring a poinsettia for the Poinsettia Trees. The cost for each poinsettia dedication is $15.00. Your dedication will be printed in the Christmas issues of the Announcements. Checks can be made payable to SVPC with “Poinsettia” in the memo line. Deadline is December 9.
Last Name *
Please enter the last name of the person/people dedicating the flowers.
First Name *
Please enter the first name of the person/people dedicating the flowers.
Phone Number *
Email Address *
How many poinsettias are you ordering/dedicating? *
Order 1: Please choose whether your first flower dedication is "In Honor of" or "In Memory of" *
Please enter this individually for each flower order you place.
Order 1: Please enter the person's name that you are dedicating the poinsettias to. *
Order 2: Please choose whether your second flower dedication is "In Honor of" or "In Memory of"
Please enter this individually for each flower order you place.
Clear selection
Order 2: Please enter the person's name that you are dedicating the poinsettias to.
Order 3: Please choose whether your third flower dedication is "In Honor of" or "In Memory of"
Please enter this individually for each flower order you place.
Clear selection
Order 3: Please enter the person's name that you are dedicating the poinsettias to.
Order 4: Please choose whether your fourth flower dedication is "In Honor of" or "In Memory of"
Please enter this individually for each flower order you place.
Clear selection
Order 4: Please enter the person's name that you are dedicating the poinsettias to.
Submit
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