Memorial Lights Order Form

To submit your order online, complete the form below. If you prefer to download a printable copy of the form, click here.

This service will offer a setting for all the names represented by the tree lights to be read. NOTE: You can also honor pet(s), 9/11 memorial, or veterans. Please be prompt in your replies in order to facilitate the display of names in the worship bulletin. Any name submitted after October 25th cannot be guaranteed to be listed.

I wish to order _____ lights @ $4 per light.

Please list the names of honorees to be included in the service.

Name of Purchaser

First Name

Last Name

Email

Phone

(###)

###

####

I plan to pay ___.

online

with a check