Season of Light 2019 Order Form

 

Use this form to order 2019 Season of Light remembrances from the Franciscan Healthcare Auxiliary.

For each light:

  • Select your desired color and the name of the person to be remembered (one name per light, please)
    • Red - Remembrance
    • White - Honor
    • Blue - Military
    • Pink - Breast Cancer
    • Gold - Cancer
  • If you wish to have an acknowledgement card sent, include the name and address in the adjacent field for that light
  • If you do not wish to have an acknowledgement card sent, leave that field blank

For ornaments or angels:

  • If you wish to have an acknowledgement card sent, include the name and address in the adjacent field for that light
  • If you do not wish to have an acknowledgement card sent, leave that field blank
Requestor Information
Light #1 - $5
Light #2 - $5
Light #3 - $5
Light #4 - $5
Light #5 - $5
Trim the Tree - $150 (Ornament)
Top the Tree - $250 (Angel)
Order Total (Lights @ $5 each; ornaments @ $150 each; angels at $250 each)
Do not use a dollar sign in this field.