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CHRISTMAS POINSETTIA SALE

Sponsored by the Medina Lions Club

Help us make your church, office or home beautiful and help us in our fight against blindness. Please order today using the order form below. Orders may be picked up at Case's Paint Store, 413 Proctor Place, Medina, New York, or arrangements can be made for home delivery by calling 798-2756. Copy this form and send it to the address below and you will be contacted.

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POINSETTIA ORDER FORM

FIRST, information:

NAME           - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

ADDRESS     - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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PHONE:  - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

SECOND, what do you want: 

                      Plants are 15-18" high

Number of RED at $9.00 each             ___________

Number of PINK at $9.00 each            ___________

Number of WHITE at $9.00 each         ___________

Number of MARBLE at $9.00 each     ___________

Number of JINGLE BELLS at $9.00 each ________

Total Number of Plants Ordered  _ _ _ _ _ _

THIRD, Check delivery date:

Check here if home delivery is required ____________
_ _ _ _ _ _  December  7, 2001

_ _ _ _ _ _  December 14, 2001

_ _ _ _ _ _  December 21, 2001

ENCLOSE CHECK and mail: 

Enclosed is my check for $_ _ _ _ _ _ _ _ _ _ _

, made payable to:

Medina Lions Club

P. 0. Box 511

Medina, NY 14103

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