Join us at Shepherd Home Monday, December 9th, 5 – 7 PM Luminaria Order Form 2019 Honor or remember a loved one and help us light up the night! Name* First Last Email We can send you a confirmation of your order if you provide your email.Phone Number*Where can we reach you with questionsLuminaria Price: $10.00 Quantity: Enter the number of Lumniarias you wish to purchaseTotal $0.00 Luminaria #1In Honor ofIn Memory ofName(s)Luminaria #2In Honor ofIn Memory ofName(s)Luminaria #3In Honor ofIn Memory ofName(s)Luminaria #4In Honor ofIn Memory ofName(s) This iframe contains the logic required to handle Ajax powered Gravity Forms.
