
CHRISTMAS POINSETTIA ORDER FORM
Poinsettias (7”) can be ordered for yourself or for shut-ins
(Orders taken from Nov. 16
– Dec. 7.) Poinsettias for shut-ins will be delivered on
December 13
Number
of poinsettias for shut-ins ___________ $11.00 each (red only)
Number
of poinsettias for yourself ___________ $11.00 each
= _______
Total cost of all plants ordered
Red_____
White _____ Pink ______ Jingle Bell______
Your name_____________________________________
Address _______________________________________
Phone number _________________________
For additional info call MaryAnne
Durand at 978-667-4239
or Helen Carroll at 978-667-5504
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