poppy order form | AMERICAN LEGION AUXILIARY

Poppy Order Form online submission with payment

Orders must reach Department 90 days PRIOR to Unit distribution date. Orders will be processed on a first come, first serve basis, based upon availability.

Date(Required)

Unit Number/Location(Required)

Distribution Date(Required)

If Unit does not plan to distribute poppies and they are only for display or arrangements, check here

Check here

Email(Required)

Phone(Required)

Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Unit Cost for Poppies(Required)

Sold in increments of 250 only. (Ex: 250 poppies = $25.00)

Shipping Costs(Required)

250-2,000 = $25.00 / 2,250-5,000 = $50.00 / 5,250-15,000 = $75.00

Total

Payment Method(Required)