Candle Lighting – Abbey Rose Kudrin

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click here to print the form and mail in or fill out form below

Full Name *
Number Attending *
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Phone *
Email *
Name to be placed on candle *PLEASE PRINT CLEARLY
Phonetic spelling of name Phonetic spelling of name to be read during the ceremony
Photo Being Mailed?
Abbey Rose Foundation 211 Ohio Street Huron, Ohio 44839Yes, It's in the mailNo, not submitting oneYes, Emailing abbeyrosefoundation@gmail.com
Additional candles ($5/CANDLE) $5/Candle
Story As you walk up to light your candle, we would like to share a 2-3 sentence story, memory or hope for your loved one that we will read aloud. This is optional. Longer sentences will be edited due to time constraints, and to ensure that we honor all families in attendance
Payment Method *
Please choose your method of paymentI Will Mail CashI Will Mail CheckPayPal
Currency