Trinity Church Pinopolis
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6/2/19
Announcement
Printable Order Form
*
Indicates required field
Requester's Name(s) and/or Family
*
Please Submit exactly how it is to be printed
in the Service Bulletin.
Number of Poinsettias
*
One
Two
Three
Four
Choose One
*
In Loving Memory
In Honor of
In Thanksgiving For
For Whom
*
Please Submit exactly how it is to be printed
in the Service Bulletin.
Any Additional Information
*
IMPORTANT PAYMENT NOTICE: All "Poinsettia Sales" must be
paid in full
by the date requested, December 13, 2019 for the request to be honored. It takes time to process and set-up for printing.
Thanks for everyone's understanding in this matter.
Submit
365 New Days, 365 New Chances.
Altar Flower Arrangement Contributions:
*
Indicates required field
Requester's Name(s) or Family to be Listed in Service Program
*
Choose One
*
In Memory of
In Honor of
In Thanksgiving For
Other
Define Other:
*
For Whom
*
Child #3 Name
*
First
Last
Child #3 Age
*
Contact Information
Email
*
Phone Number
*
Date Paramenters
Please pick one of the Following Available Dates
Dates Attending
*
January 6, 2019
January 13, 2019
Janaury 20, 2019
January 27, 2019
February 3, 2019
Special Requests Details
*
Submit
Testing Form !!!
*
Indicates required field
Parent Name
*
First
Last
Child #1 Name
*
First
Last
[object Object]
Child #1 Age
*
Child #2 Name
*
First
Last
Child #2 Age
*
Child #3 Name
*
First
Last
Child #3 Age
*
Email
*
Phone Number
*
Dates Attending
*
June 14th @ 10 AM - 11:30 AM
June 21st @ 10 AM - 11:30 AM
July 12th @ 10 AM - 11:30 AM
July 19th @ 10 AM - 11:30 AM
End of Summer Bash August 6th @ 6 PM
Comment
*
Submit
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