Purchase Entry

Added: 7/15/2024

Application to Purchase a Memorial Stone

Name of Applicant

Home Phone Number

Cell Phone Number

Address

Eligibility for Purchase

Current TWMC Member Current TWMC Minister Former TWMC Member Former TWMC Minister Relative of Present TWMC Member Relative of Former TWMC Minister

If you are a Former TWMC Member/Minister, please provide dates

If you selected Relative, please provide name, relationship and dates

Full Name of Eligible Person whose name will be inscribed

Relationship to Applicant

Upon receipt, our staff will review your application, confirm receipt, and contact you with payment and location options.

Additional Notes

Applicant's Electronic Signature

Date Signed

/ / Date Signed cannot be a future date.