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Centerpiece/Poinsettia Order Form Thank you for supporting TCF Atlanta Please email your child's photo to be included with centerpiece
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| Your Name (both First, Last) | |
| Address 1: | |
| Address 2: | |
| City: | |
| State: | |
| Zip: | |
| Home Phone: | |
| Email:
(please include if you use email in case we have a question) |
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| Centerpiece In Memory
of:
Child's Name (First, Last): (correct last name very important for children remembered in newsletter) |
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| Child's Birthday | |
| Child's Angel Date | |
| Relationship: | SonDaughter BrotherSister GrandsonGranddaughter |
| If you are making a donation and want us to send an acknowledgment to the family, please complete the name/address of the family | |
| Select either a Centerpiece Candle or Poinsettia? | |
| Submitted By (email):
(in case we have a question) |
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| Submit this form by using the button below.
It will take you to page 2 where you will make your donation online with Pay Pal. |
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