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Yes, I want to order poinsettias from the Capitol Chordsmen for the upcoming holiday season. I understand deliveries will be made beginning on or after Dec. 2. I want the following quantities: Red blooms ____ White blooms ____ Pink blooms ____ Total number of plants X $18 = $ ______________ PLEASE PRINT OR TYPE ALL ENTRIES Name ____________________________________ Delivery Street Address ____________________________________________ City (must be in Dane County) ______________________________________ Phone number (daytime) ___________________ (evening) ________________ E-mail address ____________________________ Special delivery instructions (if any)_____ ___________________________________________ ___________________________________________ Give this form and your payment to any member of the Capitol Chordsmen Chorus or mail to Capitol Chordsmen Chorus, P.O. Box 45375, Madison, WI 53744-5375. Direct any questions to barbershoppers@hotmail.com or 608/223-9939. Visit our Web site at http://communities.madison.com/chord/pages/poinsettia for updates, poinsettia care instructions, and additional copies of this form.
Print two copies of this completed form if you want a copy for your records. (Click here to return to our poinsettia news page.) |
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