Name *

First Name

Last Name

Phone *

(###)

###

####

Date of Flowers *

The date you would like the flowers to be displayed in the sanctuary

MM

DD

YYYY

Flowers Purchase *

Choose One

I will donate $36 and the Worship Committee will purchase the flowers

I will purchase the flowers myself. (Please use Gilded Lily Florist at 908-782-5459. They have a key to our building and will deliver the flowers on Saturday.)

Flowers Disposition *

Choose One

I would like to take the flowers after worship on the date they are displayed

The flowers may be given to someone in the hospital or who is homebound