TCF Atlanta Candlelighting 2018
Remembrance Memory Lantern Order Form
$30.00 each plus $10.00 to ship lantern directly to you
One order form per item ordered

Thank you for supporting TCF Atlanta 

Your Name (both First, Last)
Address 1: 
Address 2: 
City: 
State: 
Zip: 
Home Phone: 
Email: 
(please include if you use email in case we have a question)
In Memory of:
Child's Name (First, Last):
Child's Birthday
Child's Angel Date
Relationship:  SonDaughter BrotherSister GrandsonGranddaughter
Lantern - $30 Child's First Name
Lantern - $30 Hope
Lantern - $30 Faith
Lantern - $30 Love
Lantern  S&H I am adding $10.00 to have my lantern shipped directly to me. 
Additional Contribution Contribution 
Submitted By (email): 
(in case we have a question)
Submit this form by using the button below. 
It will take you to page 2 where you will make your donation online with Pay Pal.