OUR LADY OF GOOD COUNSEL

155 West Parkway | Pompton Plains, NJ

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Candle or Flower Memorial

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  Date of Memorial Request REQUIRED Please fill out this field. Please enter a date.
  
  Please choose one or both:
  
  $30.00 Minimum Sanctuary Candle (will be lit for the entire weekend)
  
  $50.00 Min-Memorial Flowers by the Blessed Mother (you can donate more for a larger piece) Flower Memorial Sanctuary Candle
  
  Any specific requests for Flower Memorial?
  
  Memorial for: REQUIRED Please fill out this field.
  
  Total Donation Amount REQUIRED $ Please fill out this field. Please enter a positive decimal.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Total:
  
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