Polk County Genealogical Society - 2023 Memorial Day Cemetery Flower Order
Flowers will be placed on the grave between May 20 and May 28, 2023. We will not remove them after the holiday.  If you wish to have more than one grave decorated, fill out a separate form for each one.

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Email *
All orders must be turned in and paid for by May 1, 2023.
Memorial Day is May 29, 2023.
Mailing Address
Preferred Phone Contact
Would you like a picture of the flower and stone sent via text to you?  If you would like this option you must provide a cell phone number. 
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Cell Phone Number
Email Address
We cannot serve every cemetery in Polk County.  The cemeteries in the following drop down list will be served.  If you have a request for another cemetery write it in the blank provided and we will contact you and let you know if we can serve.
If the cemetery is not listed above and you would like us to check and see if we can include that cemetery, please list it below.
Grave Information
Name on Marker or Stone
Is the stone flat or upright?
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Plot, section, and row number or general directions within the cemetery to the grave.
Flower Choices
Color of flowers will vary based on availability
Flower Choices - Select One
After completing this online form, we will email or mail you an invoice. You can mail a check to the address below or pay using PayPal through our website www.pcgsmo.com.  If you want us to decorate more than one grave, fill out form for each one.
PO Box 632
Bolivar, MO 65613
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