Tree of Lights Form

1Donation Information

2Payment Information

Donation Information

Donate $35

Illuminates one light on the Tree of Lights memorial
A card will be sent to up to 3 addresses to the friends/families of the honored loved one

Donate $40 same as $35, plus

Receives a beautiful personalized memorial candle to light in your home in remembrance of your lost loved one (non-scented)

Donate $75 same as $35, plus

Receives a beautiful antique-gold memorial ornament with velvet ribbon, calligraphed with loved one’s name

Donate $100 (limit of 7) same as $35, plus

Receives a handmade memorial luminary to light in your home in remembrance of your lost loved one

Join us at the “Tree of Lights” event in Homewood Central Park on Sunday, December 10^th from 3:30pm to 5:30pm in celebrating and honoring those whom we’ve loved and lost with a memorial dedication and tree lighting.

You can pick up your ornaments, memorial candles, and/or luminaries at the event. You can also call our office and arrange pick up at 400 Vestavia Parkway, Suite 131. Luminaries, candles and ornaments will not be shipped to avoid breakage. Memorial cards will be mailed to the addresses listed in the form. If you are the donor and would like to have a card mailed to your home, please include your name and address as one of the 3 addresses at the bottom.

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Email(Required)

You will receive notification of this donation for your records at this email address.

Cell Phone

(for texting, if needed)

Donation Levels(Required)

Donation In Memory Of

Name or Nickname for the Personalized Ornament

Memorial Notification Cards

Would you like to notify any one regarding your donation?(Required)

We’ll be happy to notify up to three (3) individuals of your donation on your behalf.

Yes

How many people (with separate addresses) would you like to receive notifications of your donations?(Required)

One (1) recipients

Two (2) recipients

Three (3) recipients

Recipient 1

Recipient Name 1

First Last

Recipient Address 1

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Recipient 2

Recipient Name 2

First Last

Recipient Address 2

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Recipient 3

Recipient Name 3

First Last

Recipient Address 3

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Code

Total Donation

Payment Method(Required)

Credit Card

Check

Please make all checks payable to “Community Grief Support” and mail them to:

1119 Oxmoor Road
Homewood, AL 35209

Credit Card(Required)

Card Details

Cardholder Name

Billing Address(Required)

Same as previous

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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Comments

This field is for validation purposes and should be left unchanged.

Donation Information

Memorial Notification Cards

Recipient 1

Recipient 2

Recipient 3

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