Christmas Poinsettias Order Form.

Please fill out form carefully and CLICK on the SUBMIT button at the end of the form.

PRICE $15 | DEADLINE TO ORDER DECEMBER 1, 2019

Please fill out a separate card for each order

IN HONOR OF or ...

First Name

Last Name

IN MEMORY OF

First Name

Last Name

FROM

First Name

Last Name

Phone

(###)

###

####

I WOULD LIKE MY POINSETTIA TO BE IN (CHECK ONE)

The Sanctuary

The River

PAID WITH:

CHECK

CASH

IF PAID BY CHECK, PLEASE INCLUDE CHECK NUMBER HERE:

Write the Check # in this space.

MORE INFO:

If writing a check, make out to BUMC. PLEASE READ TEXT BELOW CAREFULLY, ONCE READ, CLICK SUBMIT.