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2026 Flowers of Fellowship Form

by Priscilla Denard | May 20, 2026 | Uncategorized | 0 comments

Flowers of Fellowship

Flowers of Fellowship are given in memory or in honor of those who have touched our lives and exemplified the spirit of Civitan.

Donor's Information

Name

First Last

Email

How many Flowers would you like to purchase?

Please fill out the honoree information below based on the number of flowers purchased.

1

2

3

4

5

1) Choose one:

In Honor of

In Memory of

Honoree's Name

Recognition Name on Card

e.g Given by: “The Smith Family”, “John & Laura”, or “Your Fellow Region 2 Members”

2) Choose one:

In Honor of

In Memory of

Honoree's Name

Recognition Name on Card

e.g Given by: “The Smith Family”, “John & Laura”, or “Your Fellow Region 2 Members”

3) Choose one:

In Honor of

In Memory of

Honoree's Name

Recognition Name on Card

e.g Given by: “The Smith Family”, “John & Laura”, or “Your Fellow Region 2 Members”

4) Choose one:

In Honor of

In Memory of

Honoree's Name

Recognition Name on Card

e.g Given by: “The Smith Family”, “John & Laura”, or “Your Fellow Region 2 Members”

5) Choose one:

In Honor of

In Memory of

Honoree's Name

Recognition Name on Card

e.g Given by: “The Smith Family”, “John & Laura”, or “Your Fellow Region 2 Members”

Total

Credit Card

Cardholder Name

Card Details

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