Light the Cove Memorial Bulbs

Light the Cove Memorial Lights

Please fill out the form below to purchase your Memorial Bulb for your loved one.

Your Name(Required)

First Last

Phone(Required)

Email(Required)

Your Loved One's Name(Required)

First Last

Memorial Description(Required)

Would you like to include a photo of your loved one?(Required)

No Thank You

Yes Please

If yes please send a copy of the desired photo to [email protected] with both yours & your loved ones name included in the email for proper processing.

Payment Method

Debit/Credit in Office

Credit Card by Phone

EMT

If paying by emt, please send to [email protected] and be sure to include your name & Memorial Bulb in the message area.