JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Poinsettia Order Form
Help decorate the Sanctuary for Christmas!
Sign up for Christmas Poinsettias. If more than 4 plants are selected, please fill out this form again.
$14 each
Don't forget to pick up your plant after the Christmas Eve service.
Thank you!!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Your Name:
*
Your answer
Contact Information (Phone Number):
*
Your answer
Number of Poinsettias:
*
1 Poinsettia
2 Poinsettias
3 Poinsettias
4 Poinsettias
Select the correct recognition and include the name for each.
Poinsettia #1
In honor of
In memory of
Clear selection
Poinsettia #1 Name(s)
Your answer
Poinsettia #2
In honor of
In memory of
Clear selection
Poinsettia #2 Name(s)
Your answer
Poinsettia #3
In honor of
In memory of
Clear selection
Poinsettia #3 Name(s)
Your answer
Poinsettia #4
In honor of
In memory of
Clear selection
Poinsettia #4 Name(s)
Your answer
Payment
To pay online simply click the link below this form.
or
Please make checks payable to Christian Temple with memo line "Poinsettia."
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Christian Temple (Disciples of Christ).
Report Abuse
Forms