Wufoo

Altar Flower Dedication

Please fill out the following form completely and accurately for your dedication to be published on the weekend you selected.

The cost is $35 per dedication. Cash accepted or make checks payable to Christ Church with "Altar Flowers" in the memo section.

Contact Information
Your Name * First Last
Email *

Best email address to use to contact you concerning this dedication.
Daytime Phone * ### - ### - ####
Best telephone number to use to contact you concerning this dedication.
Dedication Information
Selected Date * MM / DD / YYYY
Choose a weekend date for this dedication to appear in the bulletin.
Type of Dedication

Pull down the menu to select a dedication type.
Enter your dedication: *
Given by: *
Do Not Fill This Out
Do Not Fill This Out

Wufoo

Altar Flower Dedication

Contact Information

Dedication Information