Flower Order Form


Use this form to order online.  Once you have completed the order form return to this page and click the pay now link to pay for your order.  Please make a payment in the amount of $16 per plant purchased in the order form.  Your order will not be proccessed until payment is made.

[contact-form to=’pastor@salemumcconway.org’ subject=’Poinsetttia Order’][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’How Many Poinsettias Are You Purchasing’ type=’text’ required=’1’/][contact-field label=’In Memory of (Please list here all information for plants placed in memory) ‘ type=’textarea’/][contact-field label=’In Honor of (Please list here all information for plants placed in honor of) ‘ type=’textarea’/][/contact-form]

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