2019 Christmas Memorial Orders
Pleasant Hills Community Presbyterian Church
199 Old Clairton Road
Pittsburgh, PA 15236
Please complete this form to purchase a Christmas Memorial in memory of your loved ones.
Then, mail your payment of $14 (cash or check) to the church or deliver it in-person at the church office.
Payments are due by Sunday, December 1.
Name of person completing this form, please include your first and last name: *
Your answer
Your phone number: *
Your answer
Your email: *
Your answer
Who is this Christmas Memorial from? Please separate multiple names using a comma. *
Your answer
Who is this Christmas Memorial in memory of? Please separate multiple names using a comma. *
Your answer
Proofread all of the names. Is everything spelled correctly? *
Will you take the Memorial flowers home? *
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