JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Christmas Wreath Order Form
Our beautiful 24 inch holiday wreaths are made of lush greens (mostly Noble Fir) and will stay fresh throughout the season. Wreaths are available for pick up November 16 - December 20 at 2490 Pioneer Pike (off Coburg Rd., across from Harlow Rd.).
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Wreaths are $28 each. For an additional $12, wreaths can be shipped to any street address in Eugene, OR and surrounding areas. Shipping orders must be submitted by December 13 to insure arrival for the holidays!
Your Name
*
your first and last name
Your answer
Your mailing address (line 1)
*
your street address
Your answer
Your mailing address (line 2)
*
your city, state and zip code
Your answer
Email
*
your daytime contact info (in case we need to contact you with questions about your order)
Your answer
Phone Number
*
Your answer
Total Wreath Count
*
enter the TOTAL number of wreaths you would like to purchase
Your answer
Number of Wreaths for Pick-Up
*
enter the number of wreaths you plan to pick-up at 2490 Pioneer Pike (available Nov 19-Dec 20)
Your answer
Number of Wreaths to Ship
*
enter the number of wreaths you would like us to ship for you (shipping order must be placed by Dec. 13 to guarantee holiday delivery)
Your answer
Shipping Orders (If you are not shipping any wreaths, skip to "Total Payment Due")
enter the following info for each shipping order: Recipient Name/Street Address/City, State, Zip/Greeting (your name and/or message)
Your answer
Total Payment Due
*
calculate total cost of your order ($28 for each wreath, $40 for each wreath to be shipped)
Your answer
Payment Remittance (cash, check, or card)
*
indicate how you wish to remit your payment (checks payable to: "Young Life")
I will send or deliver my check to "Eugene Young Life - Wreaths, 417 E. 13th Ave., Eugene, OR 97401"
I will pay by credit card online at this link
https://events.younglife.org/eugenewreaths2018
Designation (optional)
If you would like to designate your wreath contribution for a particular camper, leader, or specific purpose, please indicate this in the space below. Undesignated contributions will be directed toward Eugene Young Life's area of greatest need.
Your answer
Thank You For Your Order!
If you have any questions or concerns, please write a note in the box below or contact the Eugene Young Life Office at 541.342.7513 or
eugeneyounglife@gmail.com
. Remember, wreaths are available for pick up from November 19 to December 20 at 2490 Pioneer Pike (off Coburg Rd. across from Harlow Rd.).
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
