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* 1. I would like to be responsible for altar flowers on which of the following available dates?

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* 2. I plan to

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* 3. Pedestals are available for one or two arrangements. Which would you prefer?

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* 4. How would you like your name(s) to appear in the acknowledgement?

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* 5. If you would like to offer the flowers in thanksgiving for, or in honour or memory of, someone: please enter the details below.

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* 6. The church will confirm with you the dates you selected and any relevant logistics.

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