Purchase a Poppy 
Use this form to complete your purchase of a poppy from the CHS "Resilience" collection.  All proceeds benefit the Gold Star family programs.  
Sign in to Google to save your progress. Learn more
Email *
Please enter your full name *
Please provide a cell number or email address in case we need to contact you regarding your order. *
How many poppies would you like to purchase? *
Where would you like to pick up your order? *
Each poppy costs $20.  Please calculate your purchase total and complete the purchase using the QR code below or by searching in PayPal for account name, columbushighalumni2@gmail.com  

You will need to present proof of purchase at the pick-up location you selected.  
Complete the statement: I completed purchase using 
Captionless Image
A copy of your responses will be emailed to the address you provided.
Clear form
Never submit passwords through Google Forms.
This form was created inside of Muscogee County School District. Report Abuse