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Luminary Order Form
In memory of those who have graced your life, we invite you to help us light up the night with love, as we line our campus walkways and Veterans Garden with luminaries lit in memory of those who have gone before us. Memorial placards from adults and/or children, printed with a commemorative message, will be placed at the base of each luminary. ALL requests are due by Wednesday, December 2, 2015. Keepsake placards must be picked up at one of the services OR at Transitions GriefCare office by Monday, February 1, 2016. Questions? Call 919-719-7199.
Your name
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Country / Region
Your phone (day)
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ADULT luminaries
Select number of luminaries from ADULT(S). Suggested donation is $25 per luminary.
*
N/A
One
Two
Three
Four
LUMINARY 1: Commemorative message. Please provide up to 4 lines of text (limit 25 characters per line).
up to 4 lines of text, up to 25 characters per line
In memory of...
(If veteran, indicate rank and branch.)
LUMINARY 2: Commemorative message. Please provide up to 4 lines of text (limit 25 characters per line).
up to 4 lines of text, up to 25 characters per line
In memory of...
(If veteran, indicate rank and branch.)
LUMINARY 3: Commemorative message. Please provide up to 4 lines of text (limit 25 characters per line).
up to 4 lines of text, up to 25 characters per line
In memory of...
(If veteran, indicate rank and branch.)
LUMINARY 4: Commemorative message. Please provide up to 4 lines of text (limit 25 characters per line).
up to 4 lines of text, up to 25 characters per line
In memory of...
(If veteran, indicate rank and branch.)
Luminary placards from CHILDREN/TEENS
Select number of luminaries from CHILDREN/TEENS. Suggested donation is $25 per luminary.
*
N/A
One
Two
LUMINARY 1:
Child/teen's commemorative message. Please provide up to 4 sentences.
In memory of...
LUMINARY 2:
Child/teen's commemorative message. Please provide up to 4 sentences.
In memory of...
Suggested price for luminaries is $25 each. Income will be used to further programming of Transitions GriefCare.
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