EmailMe Form - Copy of LOR 2026 Registration Form

About:: Transitions LifeCare invites you to select one of the dates below to attend and celebrate the life of your loved one through light and quiet reflection as you walk through the illuminated pathways of our campus.

If you would like us to light a luminary in honor of your loved one, complete the online order form below. We invite you to personalize your loved one’s tribute with their name, photo, and a message. Order must be submitted online by Wednesday, December 9th to ensure adequate time for printing.

Dates:: Tuesday, January 12th
-OR-
Wednesday, January 13th

5:30 - 7:30pm

Address:: 250 Hospice Circle
Raleigh, NC 27607

Your Name *
First Last
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Phone
### - ### - ####
Email *
Would you like to subscribe to our email list?
Yes
No
I am already receiving these
Please Submit Your Luminary Information Below
You may request up to two luminaries (names) below. If you would like to request more than two luminaries, please submit an additional form by submitting and then refreshing the page.
Name of Loved One
First Last
Commemorative Message (3 lines maximum)
Was your loved one <18 years old?
Yes
No
If you would like to include a photo of your loved one, please upload here
Name of Loved One
First Last
Commemorative Message (3 lines maximum)
Was your loved one <18 years old?
Yes
No
If you would like to include a photo of your loved one, please upload here
Suggested donation of $25. Your donation will help support Transitions LifeCare, ensuring our services are available to those in need.
I am willing to donate
Price
$ Dollars . Cents