Personalized Memorial Candle
Order Form/Quote
* Required Field
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Your name:
*
 Email:
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 Address
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 City, State, Zip
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 Phone
Questions or comments,
Candle Shape and size
Candle Style
Pillar Choices
Candle Insert
Hurricane  Choices
Candle Insert
Design Graphics
Name of Design
Memorial Name
Date of Birth
Date of Death
Relationship
Verse # or Title
Special Requests
3" x 9" Round  One Side
3" x 9" Round  One Side   with picture
3" x 9" Round Two Sides
3" x 9" Round Two Sides  with picture,

4" x 6" Round  One Side
4" x 6" Round  One Side   with picture,
4" x 6" Round Two Sides
4" x 6" Round Two Sides with picture

3" x 4.5" Square Four Sides
3" x 4.5" Square Four Sides with picture
3" x 9" Round (used as vase)
3" x 9" Round with picture (used as vase)

4" x 6" Round One Side
4" x 6" Round One Side with picture,
4" x 6" Round two  Side
4" x 6" Round two Side with picture

4" x 4" Round One Side
4" x 4" Round One Side with picture
4" x 4" Round two  Side
4" x 4" Round two Side with picture

3" x 4.5" Square, four sides
3" x 4.5" Square, four sides, with picture
Pillar Styles      
Hurricane Styles
$35.00
$40.00
$40.00
$45.00

$40.00
$45.00
$45.00
$50.00

$30.00
$35.00
$30.00
$35.00

$40.00
$45.00
$45.00
$50.00

$35.00
$40.00
$40.00
$45.00

$30.00
$35.00