Hospice of the Upstate

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Memorial Tree Lighting

Sunday, December 10th at 2:00 PM

Rose Hall Dining Room

Thank you for supporting Hospice of the Upstate’s “Sounds of Peace” program. Your gift will help us continue a long tradition of the highest quality end of life care for families in our community.

The bells will be shipped the week following the Memorial Tree Lighting.

Enclosed is my gift for the 2023 “Sounds of Peace” program

Qty

Description

Amount

Total

Bell, 12 Ornament Gold Stand & Tag with Gold Bow

$200.00

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Bell, Wood Stand & Tag with Silver Bow

$125.00

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Bell, Single Gold Stand & Tag with Red Bow

$100.00

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Bell and Tag with White Bow

$55.00

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Tag only with Green Bow

$25.00

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Shipping

$6.00

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If bells are to be shipped, add $6.00 each

Total: $0.00

Name Inscribed:

Name to be inscribed on the tag and/or inside the bell.

Please select all that apply

I will pick up the bell at the Memorial Tree Lighting on Sunday, December 10th.

Please mail the bell to me (bells are shipped the week following the Tree Lighting)

This is a gift. Mail the bell to the name & address below & enclose a gift tag.

Please send an invitation to the Memorial Tree Lighting to the name & address below.

Please ship the bell to

Name:

Shipping Address:

City:

State:

Zip Code:

Gift card inscription:

This bell is a gift.

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone: *

E-mail: *

A receipt will be e-mailed to this address.

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Additional Instructions:

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *