Poinsettia Order Request
• After you fill out this order request, we will contact you to verify your order.
• You may pay using our "On-line Giving" on our website and select the pull down for "Poinsetta's".
• You may also pay the Parish Administrator directly at the church office, or place your completed order card (hard
copy) in an envelope in the collection plate.
Email address *
$15 for each plant.
Given in Thanksgiving for:
Your answer
Given in Memory of:
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Do you wish to take your plant(s) home after Christmas?
Quantity *
Please enter the number of plants
Your answer
How Paid? *
Please enter the method of payment you will use.
Your name *
Your answer
Phone number *
Your answer
Your answer
Preferred contact method *
Questions and comments
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