Flower Request

		Requested By:
Email Address:		Phone Number:

Date you wish to reserve flowers. If first date is filled a confirmation note will be sent to let you know which date you may pick up your flowers.


Number of Arrangements:		($20 each, note in memo section on check “Flowers)
	Leave flowers for a shut-in Take flowers after 11AM service
Statement for Bulletin:			(Examples: In memory of John Smith by Bob and Jean Smith. In celebration of Mary’s 21st birthday from Mom and Dad. In honor of the Caring Ministry, etc.)