TCF Atlanta Candlelighting 2017
Remembrance Candle/Poinsettia Order Form
$30.00 each plus $10.00 to ship candle directly to you

Thank you for supporting TCF Atlanta 

Please email your child's photo to be included with poinsettia

 

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
Candle - $30 Loving Memory of those who are Forever Present in our Hearts
Candle - $30 Memories are timeless treasures of the Heart
Candle - $30 In Loving Memory this light shines as a symbol of a life and love remembered
Candle   I do NOT want embellishments only words and ribbon. 
Candle S&H I am adding $10.00 to have my candle shipped directly to me. 
Poinsettia - $30 Poinsetta 
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.