Prefilled Communion Sample Request
Phone 877-222-0771 to request samples of Prefilled Communion Cups for your Church, or the church representative may fill in this form. You will be contacted by email to confirm. Please verify the Church's contact information details and reply to the email. All fields are required. You must provide a valid email address.

** Please include complete delivery address information for your church: street address, city, state and zip code.**

Limit one set per church while supplies last. Limited to US churches. International postage may be purchased.
Email address *
First Name *
Your answer
Last Name *
Your answer
Church Name *
Your answer
Email *
Your answer
Church's Full Delivery Address:
(Please include street address, city, state, zip) *
Your answer
Shipping is limited to US addresses only.
International postage rate quote is available by request.
Church's Phone number *
Your answer
Select Cup Style
Questions or comments
Your answer
Church's website *
Your answer
Prefilled Communion Cups from Celebrate Communion are available in 3 styles
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