Season of Light

Light up a life.

Season of Light Order Form

For each light:

Complete your information as a donor/requestor and the name of the person to be remembered or honored. One name per light, please.
If you wish to have an acknowledgement card sent, include the name and address in the adjacent field for that light.
If you do not wish to have an acknowledgement card sent, leave that field blank.

For ornaments or angels:

If you wish to have an acknowledgement card sent, include the name and address in the adjacent field for that light.
If you do not wish to have an acknowledgement card sent, leave that field blank.

Requestor Information

*Name

*Address

*City

*State

*Zip Code

*Email Address

*Phone Number

Tree of Light/Tree of Hope #1 - $10

In memory or honor of:

Send acknowledgment card to (name and address):

Tree of Light/Tree of Hope #2 - $10

In memory or honor of:

Send acknowledgment card to (name and address):

Tree of Light/Tree of Hope #3 - $10

In memory or honor of:

Send acknowledgment card to (name and address):

Tree of Light/Tree of Hope #4 - $10

In memory or honor of:

Send acknowledgment card to (name and address):

Tree of Light/Tree of Hope #5 - $10

In memory or honor of:

Send acknowledgment card to (name and address):

Trim the Tree Ornament #1 - $25

In memory or honor of:

Send acknowledgment card to (name and address):

Trim the Tree Ornament #2 - $25

In memory or honor of:

Send acknowledgment card to (name and address):

Trim the Tree Ornament #3 - $25

In memory or honor of:

Send acknowledgment card to (name and address):

Angel Tree Topper #1 - $50

In memory or honor of:

Send acknowledgment to (name and address):

Angel Tree Topper #2 - $50

In memory or honor of:

Send acknowledgment to (name and address):

Order total (lights @ $10 each; ornaments @ $25 each; angels @ $50 each)

*Total your order: