Episcopal Diocese of Virginia
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Flower Donation Form

(* Denotes Required Fields)

Please complete the following information.

Your name: *
Your email: *
Your telephone number: *
Current date: *
Donation: 
Please provide the text which you wish to appear in the bulletin. *
Sunday (date) you would like to provide flowers for: *
There is a $40 donation to provide flowers for each Sunday, regardless of the number of donors. Please let us know how you will be making your donation. *  
Do you have any questions about flower donations? We can contact you if you wish. 
If yes, can we contact you by: 


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