That Their Light May Always Shine-Light a Candle
(Please fill out names as you would like them to appear, and please include first and last names)
Filling out this form will send an e-mail to me, if you have any problems or if you don't hear back from me, just send me a regular e-mail with the information.
Your Name:
E-mail address:
Child's First Name:
Middle Name:
Last Name:
Child's Dates:
How would you like it to read?
Daughter of
Son of
Child of
Would you like to include your email address so others can contact you?
Select option
yes
no
If you have a memorial website for your child please enter it below and I will add a link to it from the candle page:
How did you hear about this (I am asking this out of my own curiosity!)
Any comments or suggestions:
If you would like to light a candle for more than one child, send me separate e-mails!
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