Flocknote

Memorial Order Form

- How to Order Your Memorial
  
  Memorial engraved bricks and engraved benches provide support for the preservation of our historic church, serve as a lasting recognition or memorial, and become part of the enduring history of Our Lady of the Mountains Catholic Church. If you wish to order a memorial, submit an order form below.
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Payee REQUIRED
  Enter the name of the person purchasing the Memorial as it will appear on their check or in Vanco online payment system.
  Please fill out this field. Please enter valid data.
  
  Email REQUIRED
  Email is required, you will receive a copy of your order at this email.
  Please fill out this field. Please enter an email address.
  
  Phone REQUIRED Maximum 20 characters
  We will contact you by phone if we have any questions about your order.
  Please fill out this field. Please enter a phone number.
  
  Additional Information
  
  Memorial Brick Size:
  
  Memorial Brick Size 4 x 8 Brick, $500, 3 20-character lines 8 x 8 Brick, $2,000, 6 20-character lines
  
  Line 1 Maximum 20 characters Please enter valid data.
  
  Line 2 Maximum 20 characters Please enter valid data.
  
  Line 3 Maximum 20 characters Please enter valid data.
  
  Line 4, 8 x 8 Brick Only Maximum 20 characters Please enter valid data.
  
  Line 5, 8 x 8 Brick Only Maximum 20 characters Please enter valid data.
  
  Line 6, 8 x 8 Brick Only Maximum 20 characters Please enter valid data.
  
  Your memorial will not be ordered until payment has been received REQUIRED I have mailed my payment to the Parish Office I have delivered my payment to the Parish Office I have paid online None of the above Please fill out this field.
  
  Submit
- If you close this page without submitting your form, you will lose the information you entered.
  
  If you wish to purchase a memorial bench, please call the parish office at (970) 586-8111.
  Click here to locate an existing memorial
  Bricks come in two sizes; spaces and punctuation are included in the character count:
  4x8 inches for $500: Provides 3 lines with up to 20 characters per line.
  8x8 inches for $2,000: Provides 6 lines with up to 20 characters per line.
  To simplify the process and improve tracking, please submit one order per memorial ordered. The order form and payment form have been significantly simplified. If you wish to make payment through our VANCO online system, start by clicking the button below:
  Use VANCO for Memorial Payment
  When VANCO online opens, scroll down until you see the appropriate memorial payment option tile, which will look something like those below:
  Click on the button in the bottom left to enter your payment for the memorial(s) you are paying for.