Poinsettias Order Form

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Due by December 13
To order, complete the form below and submit your payment online or in person. You can also call orders into the office and send payment. The cost is $18.00 per pot. (Poinsettias are not eligible for a charitable contribution credit).

Last Name *

First Name *

Phone Number or Address *

How many orders?

Poinsettias color preference *

Red

White

If "In Memory of" list name(s) here, separated by a comma

If "In Honor of" list name(s) here, separated by a comma

Please continue to the following link to submit your payment.

https://onrealm.org/WestoverArlington/give/poinsettia

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