safefromabuse.com

Sorry! We are sold out for 2009!

2009 C.S.A.D.V. Poinsettia Order Form

* denotes required fields
This form can be e-mailed or printed for mailing and faxing, click here for printable form.

Ordered by:

*Your E-mail:

*Name:

*Address:

*City: *State: *Zip:

*Phone:

Deliver to:
Deliver to same

Name:

Address:

City: State: Zip:

Phone:

Size	Burgundy	Red	White	Pink	Total
6" @ $20.00	sold out	sold out	sold out	sold out
8" @ $30.00	sold out	sold out	sold out	sold out
10" @ $40.00	sold out	sold out	sold out	sold out

All plants are "potted" without hangers.

	Delivery	or Pick Up
	9 a.m. to 1 p.m.	Mercy Medical Center 10-1	Christy Smith Family Resource Center 10-1
Nov. 28 (Sat)			n/a
Dec. 2 (Wed)
Dec. 5 (Sat)			n/a
Dec. 9(Wed)
Dec. 12 (Sat)			n/a
Dec.16 (Wed)
Dec. 19 (Sat)			n/a

Pick Up Locations:
Mercy Central Medical Bldg. Sioux City Lobby off 5th Street Wednesdays & Saturdays 10 a.m. to 1 p.m.	Christy Smith Family Resource Center 1801 Morningside Ave. Sioux City Wednesdays Only 10 a.m. to 1 p.m

We will make every effort to accommodate your delivery request, but cannot guarantee exact times.

All other out of town deliveries will be done on Wednesdays to a limited area
Business deliveries will be made on Wednesdays only.

Thank you! You can either order online, mail it, or fax it to us.

1. Order online by clicking the Send the Information button at the bottom.
Use your credit card to order online

2. Print it and mail it to CSADV with payment to:
CSADV, P.O. Box 1565, Sioux City, IA 51102
click here to go to printable form (for mailing and faxing)

3. Fax to CSADV.
Fax: 712-258-8790
Phone: 712-277-0131