Lions Club of Medina
“WE SERVE”

 District 20E-1

"We get the Job Done

POINSETTIA SALE 2006

Sponsored by the Medina Lions Club

We can make your church, office or home beautiful and you can help us in our fight against blindness. Please order Poinsettias today using the order form below. Orders may be picked up at Case's Paint Store, 413 Proctor Place, Medina NY or arrangements can be made for home delivery by calling (585)721-6716.  Copy this form and send it to Lions Club of Medina, P. 0. Box 511, Medina, NY 14103 and you will be contacted. We prefer that you mail your check with the Order form.

POINSETTIA ORDER FORM

  
FIRST,              
information:


NAME   - - - - - - -  - - - - - - - - - - - - - - - - - - - - - - - -     PHONE:  - - - - - - -  


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

                 - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -  

 
 SECOND,                 
what do you want: 

    Plants are 15-18" high

Number of RED at $10.00 each: ___________           Number of PINK at $10.00 each:  ___________ 


Number of WHITE at $10.00 each: ___________  Number of JINGLE BELLS at $10.00 each: ___________


         Total Number of Plants Ordered    _ _ _ _ _ _ _ _

 

  
THIRD,                    
Check delivery date:


Check here if home delivery is required ____________    CIRCLE DATE DESIRED

                                           December 8, 2006                           December 15, 2006
 

  
ENCLOSE CHECK
 and mail: 


Enclosed is my check for $_ _ _ _ _ _ _ _ _ _ _        made payable to:
 

  Medina Lions Club

P. 0. Box 511

Medina, NY 14103

  or fax to (585) 798-5460

  

___________________________                                                                                                                   
name of seller (website)                                                                                                                             

Last Updated Thursday, May 08, 2008 , by Lion 'Doc' Mruczek

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