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Tabernacle Candle request

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Request A Tabernacle Candle
The maximum number of form submissions has been reached. This form is currently not available.
- Submit this form to request the tabernacle candle be offered for your intention at one of the Christ the King Churches. If your first or second choice of week is not available, you will be given the closest week. Tabernacle candles are scheduled on a first-come, first-served basis.
  
  Payment for the $21 donation can be made by credit card or checking account. Please note the additional $1 is requested to cover online payment fees.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Telephone REQUIRED Please fill out this field. Please enter valid data.
- Email Please enter an email address.
- Church requested: REQUIRED Please fill out this field.
- Requested for: Please enter valid data.
- Deceased? Yes No
- Requested by: Please enter valid data.
- Offered for the week of (Sunday - Saturday):
- 1st Choice Please enter valid data.
- 2nd Choice Please enter valid data.
Total:

Submit

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