POINSETTIA ORDER FORM 2017
Thank you so much for ordering poinsettias this season to support our AYS Singers and the AYS ALL OUR VOICES in HARMONY Scholarship Funds! Please contact AYS at 404.873.3365 or info@aysc.org if you have any questions.
LAST Name *
Your answer
FIRST Name *
Your answer
STREET ADDRESS (for delivery only - not for other use) *
Your answer
CITY *
Your answer
ZIP *
Your answer
CELL PHONE *
Your answer
HOME PHONE
Your answer
EMAIL ADDRESS (for invoicing)
Your answer
How would you like the proceeds from your order to be assigned? *
for Singer credit, please put LAST, First in OTHER box below
RED
RED - one gallon $15
please fill in number you are ordering
Your answer
RED - two gallon $25
please fill in number you are ordering
Your answer
WHITE
WHITE - one gallon $15
please fill in number you are ordering
Your answer
WHITE - two gallon $25
please fill in number you are ordering
Your answer
PINK
PINK - one gallon $15
please fill in number you are ordering
Your answer
PINK - two gallon $25
please fill in number you are ordering
Your answer
MARBLE
MARBLE - one gallon $15
please fill in number you are ordering
Your answer
MARBLE - two gallon $25
please fill in number you are ordering
Your answer
JINGLEBELLS
JINGLEBELLS - one gallon $15
please fill in number you are ordering
Your answer
JINGLEBELLS - two gallon $25
please fill in number you are ordering
Your answer
How will you pay? *
or how DID you pay
When will you pick up your poinsettia order? *
All orders made directly through an AYS Singer will be delivered by that Singer on a mutually agreed date. All other orders may be picked up on dates below. Orders of 30+ plants may be delivered directly to your home or office by the grower - AYS will help with this and get in touch with you by email or phone.
How did you hear about the first annual AYS POINSETTIA SALE 2017? *
Thank you so much for helping AYS and our SIngers plan for future projects!
Please let me know about AYS events and performances! *
we would like to stay in touch - please check news in which you are interested
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