Brick/Paver Form

Join us this holiday season in paying tribute to your loved ones while illuminating the Fellowship campus!

You can sponsor one or more luminarias in honor or in memory of someone special.

Luminarias will be placed in a special campus location and will be lit beginning November 28, 2023.

Proceeds from this project will benefit charitable care for our skilled nursing and personal care residents who have outlived their funds.

Luminaria Information

Amount

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Type of Tribute

Tribute Name

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Title

First Name

Last Name

Address

Address 2

City

State/Province

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Contact Information

First Name

Last Name

Company Name

Address

Address 2

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State/Province

Zip/Postal Code

Home Phone

Cell Phone

Work Phone

Help Us Cover Costs

Simply leave "Yes!" checked below to ensure that 100% of your intended donation is available for our mission.

Yes! I want $25.00 to go to Fellowship Community and I will donate $25.75.No. I will donate $25.00 and Fellowship Community will cover the processing costs.

Credit Card Information

Card Holder Name

Card Account Number

Expiration Date

Security Code

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Same As Above

Address

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Terms/Conditions
By submitting your payment, you authorize us to charge the account above for the amount specified in the Transaction Amount field. Account information for Recurring Pledges/Monthly Giving is encrypted and stored securely via SafeSave™ for automatic processing of your future payments. Notify us at anytime if you wish to discontinue your pledge.

Fellowship Community - 3000 Fellowship Drive - Whitehall, PA 18052 - 610-799-3000