Kiwanis Club of Lombard
2016 Poinsettia Sale P.O. Box 321, Lombard IL 60148 Return order forms by November 22th to Nicole Aranas at
[email protected]. Delivery date: Dec. 1-8. Make checks payable to Kiwanis Club of Lombard. Credit card orders and payments accepted online at www.kiwaniscluboflombard.org
Name
Phone or E-mail
# Regular (6.5” plant w/6-8 blooms) $12
# Large (8” plant w/1014 blooms) $20
# X-Large (10” plant w/20+ blooms) $25
Total Due ($)
Paid ($)
Totals
Name of Kiwanis Club Member: ____________________________________ Phone: _____________________ E-mail: _________________________________