Flower Greetings for Passover! A fundraiser for Education Programming - Form

Thank you for purchasing Flowers- Please fill in your information below.

After selecting your size and number of arrangements, you will be prompted to let us more about the recipient(s).

*please note: If you wish to send more than 4 flower arrangements, please complete an additional form.
Thank you!

* First Name

* Last Name

* E-mail

Street Address

Province

Postal Code

I would like to purchase a flower arrangement to send a Passover greeting.

I understand that each arrangement is: Small $40 and Large $65 in support Education Programming at Temple Anshe Sholom.

Please send my invoice via: (please select option below)

* How many Flower Greetings would you like to send? (maximum 4 TOTAL per form)

SMALL arrangement(s)

LARGE arrangement(s)

Total Payment Due

This year we only have 80 fantastic arrangements for sale so don't wait to order!

Recipients MUST live in the Hamilton, Ancaster, Dundas, Burlington, Oakville Area

If you wish to send a flower greeting to a household out of our area (or to a household with Allergies/cats) please consider purchasing flowers for Shalom Village and we will send the card to your recipient. A double mitzvah! Thank you!

In the spaces below;
Please provide the NAME & ADDRESS & TELEPHONE NUMBER for each recipient of your flower greetings.

ALL greeting cards will say:
"To _______
Happy Passover from _______
Flowers to brighten your seder table ~ In support of the Jewish Learning Program at Temple Anshe Sholom"

Please provide the complete mailing address for each Passover Flower Greeting is being sent.

Thank you for your generous support!

Size of arrangement

SMALL $40LARGE $65CARD ONLY - Please deliver a small arrangement to Shalom Village

Delivery Option

Please DELIVER my flowers to the following recipientI will PICK UP my flowers on April 21st from 12:30-1pm. Please make my card out to the following:Please DELIVER my flowers to Shalom Village and send the card to the following recipient/address

* Name of Recipient 1

* Street Address

* City

* Postal Code

* Recipient 1 Phone Number

Size of arrangement

SMALL $40LARGE $65CARD ONLY - Please deliver a small arrangement to Shalom Village

Delivery Option

Name of Recipient 2

Street Address

City

Postal Code

Recipient 2 Phone Number

Size of arrangement

SMALL $40LARGE $65CARD ONLY - Please deliver a small arrangement to Shalom Village

Delivery Option

Please DELIVER my flowers to the following recipientI will PICK UP my flowers on April 21st from 12:30-1pm. Make my card out to the following:Please DELIVER my flowers to Shalom Village and send the card to the following recipient/address

Name of Recipient 3

Street Address

City

Postal Code

Recipient 3 Phone Number

Size of arrangement

SMALL $40LARGE $65CARD ONLY - Please deliver a small arrangement to Shalom Village

Delivery Option

Name of Recipient 4

Street Address

City

Postal Code

Recipient 4 Phone Number

Would you like to volunteer to deliver flowers?

I volunteer to help deliver flowers in Ancaster on April 21 at 12:30pmI volunteer to help deliver flowers in Hamilton on April 21 at 12:30pmI volunteer to help deliver flowers in Dundas on April 21 at 12:30pmI volunteer to help deliver flowers in Burlington on April 21 at 12:30pmI volunteer to help deliver flowers in Oakville on April 21 at 12:30pm