Poinsettia Order Form 2022

Your name(s) (exactly as you would like it to appear in the dedication):

This address will receive a confirmation email

Phone

Address

When will you pick up your poinsettia?

On Christmas Eve after the 8:00 pm church service At the church on Sunday, December 25th In the church office on 12/27, 12/28, or 12/29, between 8:30 am - 4:30 pm I would like the church to give it to a family or senior citizen in the area.

To whom is this poinsettia dedicated? Is this in honor or in memory of this person(s)? (If you are purchasing multiple poinsettias, please list information for each separately.)

Select the quantity you are purchasing:

Before submitting, please make sure that all information is correct and that all names are spelled correctly for your dedication.

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Christmas Eve Services 12/24/22

Please fill out this form to have a poinsettia given in honor or in memory of a friend or family member. Poinsettias will be displayed during our church services on Christmas Eve.

Poinsettia Order Form 2022

Description

Please Fix the Following