Remembrance Rose

YOUR CONTACT INFORMATION

First Name

This address will receive a confirmation email

Phone

Information for the Rose Listing

Date for Rose

Would you like to include a message in the listing? If so, enter it below.

If you would like to include who it is from, please enter the name below:

If you have any questions for the church office staff, enter below:

Please enter the payment amount here ($25 per rose), if you prefer to pay by check or cash, skip this step

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Thank you for purchasing a Remembrance Rose. Each rose is $25. The cost covers the rose ($5) and a $20 gift to the FPLC Outreach efforts.

The deadline to order a rose is the Sunday prior to the date you are requesting.

Remembrance Rose

Description

Please Fix the Following