The Arc United Annual Rose Sale
ORDER FORM
“The Arc fights for people with developmental disabilities so they can reach for a brighter, more inclusive future.”
I Will Pick My Roses Up At:
I Want These Roses:
Please Enter # of Dozens You Want to Order of Each Color:
Here is My Information:
Thank You!
Enter # Dozen of
Red Roses:
Enter # Dozen of
Lollipop Roses:
After you click "Submit My Rose Order", a page will open where you will enter
the roses you ordered in your shopping cart.
You can then pay securely through PayPal - You do not need a PayPal account to pay.
Your tax-deductible amount is $8.00 per dozen.
How to Order Your Roses:
1. Enter your information in the boxes below.

2. Select the location where you will pick up your roses from the drop-down list.

3. Enter the # of dozen roses you wish to purchase of each color in the box     
   provided.

4. Click “Submit My Rose Order” to send your order to The Arc United
   - Please remember how many of each you have ordered to add to your cart for        your secure payment with PayPal.

5. A new page will open - click the “add to shopping cart” buttons that reflect how       many dozen of each color that you submitted on the order form here.

6. You will proceed to PayPal where you will be able to submit payment securely   
    for your rose order.