Where I wish to place flowers: *
 the High Altar ($90) 
 Ascension Chapel ($50) 
 Holy Communion Chapel ($50) 
 Cummings ($65) 
 All altars ($200) 
 Other (any amount) 
Total Donation *
$
Dollars
.
Cents
Date flowers will be used

MM
/
DD
/
YYYY
If you don't have a date preference specify a month:
In loving memory of:
In thanksgiving for:
Name *
Prefix
First *
Last *
Suffix
Email *
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Phone Number

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