Poinsettias
Your Name
Your Email Address
*
How many poinsettias would you like to purchase?
*
Please select one option
One Poinsettia (Add $10.00)
Two Poinsettias (Add $20.00)
Three Poinsettias (Add $30.00)
Four Poinsettias (Add $40.00)
Five Poinsettias (Add $50.00)
Six Poinsettias (Add $60.00)
Seven Poinsettias (Add $70.00)
Eight Poinsettias (Add $80.00)
Nine Poinsettias (Add $90.00)
Ten Poinsettias (Add $100.00)
How would you like to dedicate your poinsettia(s)?
Would you like to donate to The Glory of God?
*
No
Yes
Would you like to donate to In the Memory of someone? If so, please list name(s).
*
No
Yes
Please list name(s)
Would you like to donate In Honor of someone or an event? If so, please list name(s) and or event(s).
*
No
Yes
Please list name(s) and/or event(s)
Please type
in the box to the right »
*
Total
$
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