St. Margaret R.C. Church
66-05 79th Place
Middle Village, NY 11379

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Memorial Christmas Poinsettia Program

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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- If you’d like the memorial Christmas Poinsettia to be in memory of someone, please let me know their name and any special details you’d like included
- Christmas Poinsettia Memorial35.0
- Poinsettia Please enter an integer (number).
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