Luminary Gift Form
for Light the Night at Laurelbrooke Landing - December 3, 2016

Donation: $10 per luminary
  • - -
  • Please designate:

  • After submitting this form, you will be redirected to Paypal to submit your payment online. Or if you prefer, print the form and mail it with your check (made payable to WRC Senior Services) to:

    Laurelbrooke Landing
    133 Laurelbrooke Drive
    Brookville, PA 15825

    All donations are tax-deductible to the fullest extent of the law.

    Thank you for your support of our charitable care program!

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