2019 Poinsettia Order Form
By completing this form, you are placing your order for the 2019 SMM Poinsettia Fundraiser. 100% of the proceeds benefit our child sponsorship with One More Child, Susana Diaz from Costa Rica.
Poinsettias will be available for delivery in Hardee County on Wednesday, December 4th.
Hardee County: Because we have different people delivering to different areas, please make sure that your payment is ready for pick up on December 4th. If you will not be receiving the poinsettias and someone else will be doing so for you, please make sure you leave payment with them. If we are delivering to your house and you may not be there, please make sure your payment is left in a visible area for us to pick up. If you are not comfortable with leaving your payment out and you will not be home, please mail your check to us at: SendMeMissions 303 West Main Street, Suite #3, Wauchula, FL 33873. Delivery without payment will result in an additional $5 fee. If something changes in regards to your delivery, please make sure you notify us prior to Tuesday, Dec. 3rd.
- SMM Poinsettia Fundraising Team
First & Last Name
If delivery address is for a school or business, please list the closing time and include if office is closed for lunch. *To help us reduce our delivery time we prefer to deliver to schools & businesses rather than your home. But if this is inconvenient or not an option, we completely understand.
Contact Telephone #
Please include area code
How many 6in poinsettias would you like?
6in are $7.00 each
How many 8in poinsettias would you like?
8in are $17.00 each
How many 10in poinsettias would you like?
10in are $21.00 each
How would you like to pay?
Invoices will be sent within 7 days.
Please invoice me online using the email address listed
I will pay with cash or check on the day of delivery
I will mail a check to SMM before November 28th
What are you using your poinsettia's for:
Please mark all that apply
Personal Use / Decorating my home
Business Use / Decorating my office
Church or Ministry Use / Decorating my church
Donation - I do not want the poinsettias I've ordered and would like to donate them to a local nursing home.
Gift for someone
How did you hear about the 2019 SMM Poinsettia Fundraiser?
I have ordered in previous years
SMM Monthly Newsletter
Friend or Co-Worker shared with me
Page 1 of 1
Never submit passwords through Google Forms.
This form was created inside of SendMeMissions.