A Circle of Light’s

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A Circle of Light’s
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Candle Lighting Request Page

Please, fill out the request form for yourself &/or another.


Your First & Last Name: (required)

Your email: (required)

Recipient(s) name: (required)
First name & first initial of the last name

Do you want the candle linked to a website?

Site Name:

URL:

Description or reason for candle(s):

How did you find our site:

On the next page you will be asked to make a donation.
Please consider helping those, who may be less fortunate. 100% of your donation will be donated to charity and you will be given a choice of charities.

Cotcha: 10313151345000
You MUST TYPE (do not cut & paste) the Cotcha code number in this text box:

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I send you love.

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