Rocking Chair Tribute Donation form by Ricky Hill | Nov 3, 2023 | Latest News Rocking Chair Tribute Donation Name * Name First First Last Last Address * Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Phone * Type of phone number provided * Cell Work Email * Select Tribute Option * Individual(s) or organization/group to be honored Name of church or organization making the donation (for example: Trinity UMC Youth, Kernersville NC; Spartanburg Quilters) NAME TO GO ON TRIBUTE PLATE * If you are human, leave this field blank. Pay with PayPal Start Over
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