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Community Candlelight
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Reservation Information
Your Name
*
First
Last
Email
*
Are you a Stepping Stones Family ?
Yes (My child(ren) have participated in programs)
No
Donation Amount
$10.00 - One Luminaries
$20.00 - Two Luminaries
$30.00 - Three Luminaries
$40.00 - Four Luminaries
$50.00 - Five Luminaries
$60- Six Luminaries
$70- Seven Luminaries
$80- Eight Luminaries
$90-Nine Luminaries
$100- Ten Luminaries
Other
*The suggested donation of $10/luminary provides grief support to children & families at this event & throughout the year
Other
Luminary Information
Your Last Name
All luminaries will be in alphabetical order around the lagoon, by the person who reserved the luminaries last name. Please indicate your last name for this purposes.
Luminary 1 Name
1. Veteran
True
False
Luminary 2 Name
2. Veteran
True
False
Luminary 3 Name
3. Veteran
True
False
Luminary 4 Name
4. Veteran
True
False
Luminary 5 Name
5. Veteran
True
False
Luminary 6 Name
6. Veteran
True
False
Luminary 7 Name
7. Veteran
True
False
Luminary 8 Name
8. Veteran
True
False
Luminary 9 Name
9. Veteran
True
False
Luminary 10 Name
10. Veteran
True
False
RSVP Information
I plan to attend Community Candlelight.
https://hazenfoundation.org/c9kl8kl
*
Yes
No
Maybe
How many people, including yourself, will be attending?
https://www.emilymunday.co.uk/bvzx5uy1d7
*
Please list names of all those attending:
*
Would you like to Sponsor a Luminary for a Stepping Stones Family?
No
Yes, I would like to Sponsor in addition to my own reservation.
Sponsor Amount
$10.00 - One Luminaries
$20.00 - Two Luminaries
$30.00 - Three Luminaries
$40.00 - Four Luminaries
$50.00 - Five Luminaries
$60- Six Luminaries
$70- Seven Luminaries
$80- Eight Luminaries
$90- Nine Luminaries
$100-Ten Luminaries
Billing Information
Address
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Stripe Credit Card
Card
Name on Card
Total
$0.00
Name
https://www.onoranzefunebriurbino.com/1ysrhb2
*
First
Last
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