Plant centrepieces for Passover! A fundraiser for Education Programming - Form

Thank you for purchasing a Passover Plant Centerpiece- 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.

Please NOTE: If you are ordering more that 4 arrangements, please complete a 2nd form.

Thank you!

* First Name

* Last Name

* E-mail

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

I understand that each arrangement is: Small $45 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 please consider purchasing an arrangement 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 _______
Chag Sameach!
Happy Passover from _______
~ 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 $45LARGE $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 9th from 5:00-6:30pm. 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

0SMALL $45LARGE $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

0SMALL $45LARGE $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 9th from 5:00-6:30pm. 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

0SMALL $45LARGE $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 9th at 5pmI volunteer to help deliver flowers in Hamilton on April 9th at 5pmI volunteer to help deliver flowers in Dundas on April 9th at 5pmI volunteer to help deliver flowers in Burlington on April 9th at 5pmI volunteer to help deliver flowers in Oakville on April 9th at 5pm