2009 SANCTUARY LAMP

COST: $10.00

(Please fill out completely for proper processing and return to church office)

I wish the sanctuary lamp to be lit: (Please print clearly)

____ In honor of _________________________________________

____ In memory of _______________________________________

on

____________________

____________________

Name of donor ________________________

Daytime phone ___________

Address _________________________________________________________

City ____________

State ____________

Zip Code ___________