Sanctuary Flower Donation
Please fill out this form and click submit.
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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Bulletin Dedication
First Choice Sunday
*
Second Choice Sunday
*
Please tell us what you would like to put in the bulletin. The dedication will read "This morning's flowers are presented to the glory of God and (DEDICATION) by (YOUR NAME)."
Dedication (e.g. "in memory of ____" or "in honor of _____")
*
Your Name, as you would like it to appear, or type "Anonymous"
*
Payment ($300/Rhe table, $75/Organ arrangement )
Option
Rhe table arrangement $300
Organ arrangement $75
Both arrangements $375
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
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AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
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