Memorial Walk Orders

Please complete the form below to order a memorial paver.

Each Memorial Brick is $100.
Please make checks payable to St. Thomas Of Canterbury with a note in the memo line "Pavers".

Please complete and submit an individual form for each brick.
Checks can be mailed to:
St. Thomas of Canterbury Church
90 Edgewater Dr.
Smithtown, New York 11787
OR
Place the payment in an envelope in the Alms Basins at a Sunday Service.

* Indicates required field

Purchaser's Name *

First

Last

Phone Number *

Email *

Choose One *

Engraving Instructions *

If there are any questions please email: stthomasofcan@optonline.net

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