First United Methodist Victoria
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Poinsettia Order Form
In Memory of
First Name
Last Name
First Name
Last Name
First Name
Last Name
First Name
Last Name
First Name
Last Name
In Honor Of:
First Name
Last Name
First Name
Last Name
First Name
Last Name
First Name
Last Name
Person Placing Order
Your First Name
Last Name
Email Address
Phone Number
To place your Poinsettias order, please click "place order" below
place order
To Pay for your Poinsettias Click, "Pay for your Poinsettias" below
Pay for your Poinsettias
Poinsettias are $12 each.
1 = $12
2 = $24
3 = $36
4 = $48
5 = $60
