Name Plate Order Form

Name of donor (Family Name) _______________________________________

Address_________________________________________________________

Phone__________________________________________________________

Email___________________________________________________________

Names of children:

1._____________________________2.___________________________ 

3._____________________________4.___________________________

5._____________________________6.___________________________

7._____________________________8.___________________________

9._____________________________10.___________________________

If you choose to share a bench with special families, indicate that here:

____________________________________________________________

               Make checks out to The Church of the Advent/ CC Benches