Michiana Ice FSC Holiday Fundraiser

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Michiana Ice FSC Holiday Fundraiser - Out of Town Delivery

Please complete this form if you are interested in purchasing greenery and would like it sent to your door. Or perhaps you are looking for the perfect gift for your out-of-town friends, family and business associates delivered right to their door via FedEx.
ORDER DEADLINE: OCTOBER 27, 2019

Email *

Name of Seller (member of Michiana Ice FSC - leave blank if unknown)

Name of Gift Recipient (who will receive the greenery) *

Street Address of Recipient (double check the address: an incorrect address will result in an undeliverable package) *

City (48 continuous states only - No P.O. Boxes PLEASE) *

State *

Zipcode (zip + 4 if available) *

Sender's Last Name (if different than recipient)

Sender's Phone Number *

Sender's Email (if different than above)

Holiday Message (to be included with greenery)

Please choose the products you would like to order. *

Classic Wreath ($35)

Victorian Wreath ($40)

Cranberry Splash Wreath ($40)

Wintergreen Wreath ($40)

Candlelit Centerpiece ($40)

22" Table-Top Tree ($40)

40" Live Christmas Tree ($65)

Required

I wish to pay by: *

Check, made out to Michiana Ice FSC (must be received by October 27th in order to process order)

Online invoice (to be sent to "sender email" above - payment needs to be received by October 27th in order to process order)

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms