St. Stephen’s United Methodist Church, 9203 Braddock Road, Burke, VA 22015

703-978-8724 ext 108

Youth Mission Fund Raiser – Nursery Bedding Plants & Vegetables

Pre-pay Advance Order Form – You Must Pay in Advance

Pick-Up Date & Sale at the Church: Saturday,May 11, 2013, 9 a.m. to 1 p.m. (rain or shine)

Return this form to St. Stephen’s or send an email toTodd Lockcuff () by Sunday, April21, 2013

Customer Name: ______Customer Telephone: ______

Customer Address: ______

Full Flat of Annuals @ $20 each/ Half Flat @ $10 / 4 Inch Pots @ $4 each (Herbs 3.5 inch)
PLANT TYPE / COLOR / # OF FULL FLATS / # OF HALF FLATS / PLANT TYPE / COLOR / # OF 4 INCH POTS
Ageratum ☼ ∆ / Blue / Geraniums ☼ / Red
Alyssum ☼ ∆ / White / White
Purple / Pink
Begonia ☼ ∆ ■ / Bronze Leaf White / New Guinea Impatiens ∆ ■ / Red
Bronze Leaf Red / White
Bronze Leaf Pink / Pink
Green Leaf White / Herbs (3.5” pots) ☼ / Basil
Green Leaf Red / Parsley
Green Leaf Pink / Cilantro
Coleus ☼ / Chives
Dahlia ☼ / Mix / Sage
Dianthus ☼ / Mix / Oregano
Dusty Miller ☼ / Silver Dust / Rosemary
Impatiens ∆ ■ / Mix / TOTAL # POTS
Red
White
Pink / Hanging 10” Baskets / $18 each or / 2 for $32
Salmon / PLANT TYPE / COLOR / # of Baskets
Rose / Impatiens ∆ ■ / Red
Violet / White
Bi-color / Pink
Lobelia ☼ ∆ / Blue / Mix
Marigolds ☼ / Dwarf Yellow / New Guinea Impatiens ∆ ■ / Red
Dwarf Orange / White
Dwarf Mix / Pink
Dwarf Bicolor / Fuchsia ☼ ∆
Dwarf Red / Geranium ☼ / Red
Tall Yellow / White
Tall Orange / Pink
Petunia ☼ / Red / Ivy Geranium ☼ / Red
White / Pink
Pink / Supertunia ☼ ∆
Blue / Verbena ☼ / Pink
Burgundy / Blue
Bi-color Blue / Boston Fern ∆
Bi-color Red / Angelwing Begonia ☼ ∆ ■
Portulaca ☼ / Mix / ComboHangingGarden
3-4 varieties sun/shade
Salvia ☼ ∆ / Red Dwarf / TOTAL HANG. BASKETS
Red Tall
Blue Victoria / ☼ = likes sun
Snapdragons ☼ ∆ / Mix / ∆ = likes partial sun / shade
Verbena ☼ / Mix / ■ = likes shade
Vinca ☼ / Pink
White
Red
TOTAL FLATS:

Vegetable Cell Packs: 4 to 6 plants per tray; 2 trays per quarter flat; quarterflat @ $5.00

Vegetable / # Quarter of Flats
Better Boy Tomato
Beefsteak Tomato
Roma Tomato
Cherry Tomato
Bell Pepper
Banana Pepper
Jalapeno Pepper
Cucumber
Zucchini Squash
TOTAL FLATS

I wish to donate the following to the community garden planted by SSUMC Youth – vegetables will be provided to Grace Ministries when harvested:

(Indicate your choice of and the amount of vegetables above and add to the total – attach a separate sheet if necessary)

If the nursery is not able to deliver some plants on the delivery date, we will refund the price paid for those plants. We will not schedule another delivery date.

3/06

ORDER SUMMARY:

Total Floral Flats ______@ $20.00 each = ______

Total Floral ½ Flats ______@ $10.00 each = ______

Total Vegetable ¼ Flats ______@ $5.00 each = ______

Total Small Pots ______@ $4.00 each = ______

Total Hanging Baskets ______@ $18 each/ 2 for $32 =______

Donation: ______

TOTAL DUE:$______

(including any donation)

Please make checks payable to SSUMC with memo “Youth Missions”

Give completed order form and payment to the youth at the MYF Plant Sale table in the Gathering Place

Or to the church office

Or mail the completed form and payment to:

Todd Lockcuff

5424 Rilian Court

Burke, VA 22015

Questions? Contact:Todd Lockcuff () (703) 425-1364 (h) (703)408-5909 (cell)

Planters and Patio Pots may be available on the pick-up date. First come-First serve.

If the nursery is not able to deliver some plants on the delivery date, we will refund the price paid for those plants. We will not schedule another delivery date.

3/06