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Remembrance Candle Order Form $30.00 each plus $10.00 to ship candle directly to you One order form per item ordered Thank you for supporting TCF Atlanta |
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| Your Name (both First, Last) | ||
| Address 1: | ||
| Address 2: | ||
| City: | ||
| State: | ||
| Zip: | ||
| Home Phone: | ||
| Email:
(please include if you use email in case we have a question) |
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| In Memory of:
Child's Name (First, Last): |
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| Child's Birthday | ||
| Child's Angel Date | ||
| Relationship: | SonDaughter BrotherSister GrandsonGranddaughter | |
| Memory Candle #1 - $30 | • #1 - Faith, Hope and Love (Thin Font) | |
| Memory Candle #2 - $30 | • #2 - Faith, Hope and Love (Thick Font) | |
| Memory Candle #3 - $30 | • #3 - Love | |
| Memory Candle #4 - $30 | • #4 - Faith | |
| Memory Candle #5 - $30 | • #5 - Hope | |
| Memory Candle #6 - $30 | • #6 - Memories | |
| S&H | I am adding $10.00 to have my candle shipped directly to me. | |
| Additional Contribution | Contribution | |
| Submitted By (email):
(in case we have a question) |
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| Submit this form by using the button below.
It will take you to page 2 where you will make your donation online with Pay Pal. |
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