Poinsettia Flower Order Form

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Please use this form to purchase a poinsettia to enhance Covenant's worship space this Advent and Christmas season. The cost of each poinsettia is $15.00. (Payment for your order can be mailed to the church -- 607 E. 3rd. St. Long Beach, CA 90802 or delivered in person.)

Email *

Name listed for poinsettia(s) *

# of poinsettias *

1 poinsettia

2 poinsettias

3 poinsettias

I would like to include this special message with my poinsettia(s):

My phone number is

I would like to *

donate my poinsettia purchase to the homebound

pick up my poinsettia the week before Christmas

E-signature *

Send me a copy of my responses.

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