Christmas Poinsettia Donation Form & More

Christmas Poinsettia Donation Form and Poinsettia Bulletin List Insert are available free to download and print below for your church office...


Poinsettias around Christmas will grace your sanctuary and helps beautify the church. Also they can help raise lots of monies for your special Christmas events and/or fundraisers for special causes.

Many churches make these poinsettias available for purchase and place in memory, in honor of or in thanksgiving for a loved one or anyone you choose. They usually have them available for $10.00 each and have you fill out a form similar to one of the poinsettia donation forms below.



Churches will normally let you purchase the poinsettia or just simply give a donation toward your special cause.They will then have a poinsettia church bulletin insert similar to the one below so everyone can see who purchased a poinsettia and in whose name they were in memory or honor of.

Many churches will also normally let you take your poinsettia home with you after the holidays are over or after the Christmas day service is over.

The Poinsettia Donation Form #1 template below includes:

  • Reminder: "Please return this form to the church office by [Day of the Week], [Date] so that your dedication is included in the order of worship for the [Church Event Name] on [Date of Event]. Please make your check payable to [Church Name] and designate in the memo section “Christmas Poinsettia”. It is important that you PRINT your dedication CLEARLY in order to avoid errors.   The poinsettias will adorn the sanctuary beginning December [date] for the [Church Event Name] and may be picked up following the Christmas Eve Service"
  • Note: Please note: One person, couple, family or group per numbered line. $10.00 per Poinsettia/Dedication Line.
  • Donor Name(s)
  • QuantityX $10.00 each = $
  • In Memory of [Name(s)]
  • In Honor of [Name(s)]

The Poinsettia Donation Form #2 template below includes:

  • Poinsettias are $10.00. Please make check payable to: [Church Name]
  • Donated By
  • Phone Number
  • In Memory of [Name]
  • In Honor of [Name]
  • In Thanksgiving for [Name]
  • Number of Poinsettias
  • Note: Poinsettias will be placed in the Sanctuary. For other arrangements and for more information, please contact: [Contact Name] at [Contact's Phone Number] or email: [Contact's Email Address] or [Contact Name] at [Contact's Phone Number] or email: [Contact's Email Address]
  • For Office Use Only: Amount Due, Amount Collected, Payment Type, Collected By, and Comments
  • Church Name, Address, Phone, Fax, Email and Website

The Poinsettia Church Bulletin Insert template below includes:

  • Current Date
  • "Thank you, thank you very much to everyone who donated to the [Church Name] Poinsettia Fundraiser. We want to thank them for carrying on the [Church Name] tradition of generosity. The [Church Name] Poinsettia Fundraiser benefits the [Ministry…]. Your name will be posted on this list if you donate to this fundraiser and inserted in the Christmas Church Bulletin. Thank you again"
  • Donor Name(s)

Click on the link to download the poinsettia donation forms for Christmas and poinsettia church bulletin list below:

Christmas Poinsettia Donation Form #1

Poinsettia Donation Form #2

Poinsettia Church Bulletin List Insert


If you need to modify this form, try the site: Free PDF Services. You can convert this Adobe file into a Word document free of charge and make the necessary changes.

Note: You will need Adobe Reader (the latest version is recommended) installed on your computer in order to save or open these forms.

You can get Adobe Reader free here (a new window will open so you can download it without leaving this page).

If you want to open the file in your browser window, just click on one of the links above. However, if you want to download the file to view later, then right-click on the link and choose "Save Target As" or "Save File As". Then select where you want to save the file on your hard drive.


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