Poinsettia Order Form

You are invited to remember, honor, or celebrate a loved one or special occasion by purchasing a poinsettia to adorn the Sanctuary for Christmas. Each plant costs $15 and may be taken home anytime after the 6:00 pm Christmas Eve service.

Email

*

This address will receive a confirmation email

Name

*

Phone

*

How would you like your dedication printed in the bulletin?

The flowers are given by:

*

Please select one:

*

Please select one option.

memory of honor of celebration of

Name(s) of person(s):

*

Method of Payment

Pay Online - 1 Plant ($15) Pay Online - 2 Plants ($30) Pay Online - 3 Plants ($45) Pay Online - 4 Plants ($60) Check - 1 Plant $15 (0) Check - 2 Plants $30 (0) Check - 3 Plants $45 (0) Check - 4 Plants $60 (0)

Amount

If you prefer to pay by check at a later time, please make it payable to GPC with "Poinsettia(s)" in the memo line. You may mail it to the church office or place it in the offering plate by Sunday, November 23.

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

You are invited to remember, honor, or celebrate a loved one or special occasion by purchasing a poinsettia to adorn the Sanctuary for Christmas. Each plant costs $15 and may be taken home anytime after the 6:00 pm Christmas Eve service.

Please Fix the Following

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