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Luminaries for Loved Ones
Help us let His light shine by giving $5.00 or more to Lakeside in memory or honor of a loved one(s) this Christmas. The luminaries line our sidewalks (weather permitting) and names are published in the program for the Christmas Concert. $5.00 minimum per memorial or honored name.
Donation Amount ($5 minimum per name in memory).
$
Dollars
Payment Method
I'll donate via Paypal online
I'll mail a check to LLHS
I'll drop off my donation at LLHS
The donation amount you entered above tells LLHS what you plan to donate, but it does not indicate actual payment. Please tell us your preferred method of payment, and take that step AFTER you have submitted this form. If you're mailing, the address is 231 Woodland Beach Rd Lake Mills 53551
Donor Name
*
Prefix
First
Last
Write the donor name(s) as you would like them to appear in the program. You may enter more than one first name in that field.
Email
*
Address
Street Address
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Choose:
In Memory
In Honor
Name as you'd like it to appear on Christmas concert program
Choose:
In Memory
In Honor
2nd Name as you'd like it to appear on Christmas concert program
Choose:
In Memory
In Honor
3rd Name as you'd like it to appear on Christmas concert program
Choose:
In Memory
In Honor
4th Name as you'd like it to appear on Christmas concert program
(if you have more than 4, please send an email with your name and additional memorial names to bvredeve@llhs.org.) Please proceed to donate securely online via the page that appears next, or send in a check to the LLHS office before the RSVP date
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