CA DeanThe Charles A Dean Memorial Hospital Lights of Life

For more information call: 695-5215

This holiday season, remember or honor a loved one while supporting patient care at our hospital.

By making a donation, a light will be placed on our holiday tree in honor of the person(s) you specify.

You’re invited to join us at our Tree Lighting Ceremony Saturday, November 27, at 4:00pm

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Your Contact Information
Name:
Address:
City:
State:
Zip:
Please choose your light color below:
White lights

If in memory or tribute to one or more people please indicate name(s) and whether "in tribute to" or "in memory of" to the right of each name, in the box below.


Red lights

Amount @ $25 each =

If in memory or tribute to one or more people please indicate name(s) and whether "in tribute to" or "in memory of" to the right of each name, in the box below.


Green lights

Amount @ $50 each =

If in memory or tribute to one or more people please indicate name(s) and whether "in tribute to" or "in memory of" to the right of each name, in the box below.


Blue lights

Amount @ $100 each =

If in memory or tribute to one or more people please indicate name(s) and whether "in tribute to" or "in memory of" to the right of each name, in the box below.


Orange lights

Amount @ $250 each =

If in memory or tribute to one or more people please indicate name(s) and whether "in tribute to" or "in memory of" to the right of each name, in the box below.


Purple lights

Amount @ $500 each =

If in memory or tribute to one or more people please indicate name(s) and whether "in tribute to" or "in memory of" to the right of each name, in the box below.


Star - Only one available. Please call for availability. 1 @ $1000 =
Total Amount of all lights combined.
Card Type:
Card Number:
Expiration Date (mm/yyyy):
Your name as it appears on the card:
For more information on our development programs and services please call Chris Cox 973-5786