Order Form: Christmas Poinsettias
Please fill out this form to order poinsettias.
Poinsettias can be ordered in memory or honor of someone for the decorating of the church sanctuary during the Christmas season.
Orders are due by November 16th
, along with the payment. The cost is $20.00/each.
You may pay online using this form or you may pay by check. Details below.
If you have any questions, please email Lisa Evarts at:
lisajevarts@gmail.com
or call (802) 349-5788.
Thank you!
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Please give us your dedication information. Example: "In memory of ________ (person you want to honor) by _________ (your name)"
*
Which color(s) pointsettia would you like? If ordering more than one plant, please indicate numbers and colors using 'Notes' below..
*
Please select all that apply.
Red
white
pink
Notes
I intend to
*
Please select one option.
Take my flowers home after Christmas Service (Sunday 28th)
Take my flowers home following the 7 p.m. Christmas Eve Service (Wednesday Dec. 24th)
Donate my flowers to the Board of Pastoral Care to gift to someone in need.
Other (please indicate in "notes" section)
Poinsettias are $20 each.
Paying by Check
Should you wish to pay by check, please select "$0" below. Checks can be made out to the Congregational Church of Middlebury (memo line: Flowers). Payment can be dropped off in person or mailed to: Congregational Church of Middlebury, 30 North Pleasant St., Middlebury, VT 05753.
Paying by Credit Card
If you wish to pay by credit card, you can do so below. Select the amount due, and input your card details. Funds will automatically be transfered to the flower fund.
Thank you!
I wish to pay by...
*
Please select one option.
check
card
Payment
($0)
($20)
($40)
($60)
($80)
($100)
($0)
($20)
($40)
($60)
($80)
($100)
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Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
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QC
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VT
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YT
Submit
Description
Please fill out this form to order poinsettias.
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