Memorial Requests

To submit your memorial request, please fill out this form and click submit.

Name

This address will receive a confirmation email

Phone

Select memorial request

Please select one option.

Memorial Candle Memorial Service

First and Last name to be commemorated

Number of days/years departed

Relationship to person being commemorated (i.e. beloved mother of...)

Memorial Candles

Memorial candle requests must be received BEFORE Wednesday at 5 pm to be included in the Sunday Bulletin.

Memorial Candles

None ($0) 1 Candle ($14) 2 Candles ($28) 3 Candles ($42) 4 Candles ($56)

Amount

What is the date of the Sunday you would like the candle lit?

Memorial Service

What is the date of the Sunday you would like the service held?

Please note that memorial services are not permitted to take place from the Saturday of Lazarus through the Sunday of Thomas, or on any Feastday of the Lord or Feastday of the Theotokos.

If you're uncertain whether the date you want falls during this period, please contact the office at 949-733-2366.

Are you making your own kollyva?

Please select one option.

Yes No

If not, do you need to be contacted with the name of someone who can make it for you?

Please select one option.

Yes No

Additional Donation

If you would like to make an additional donation to the church, you may add the amount here. Thank You!

Please Specify Amount

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

To submit your memorial request, please fill out this form and click submit.

Memorial Requests

Description

Please Fix the Following