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, click on the "Order Memorial" button.
- 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
  
  4x8_Brick $500 REQUIRED Please fill out this field.
  
  4x8_Brick 1
  
  Line_1 Please enter valid data.
  
  Line_2 Please enter valid data.
  
  Line_3 Please enter valid data.
  
  4x8_Brick 2
  
  Line_1 Please enter valid data.
  
  Line_2 Please enter valid data.
  
  Line_3 Please enter valid data.
  
  4x8_Brick 3
  
  Line_1 Please enter valid data.
  
  Line_2 Please enter valid data.
  
  Line_3 Please enter valid data.
  
  8x8_Brick $1,000 REQUIRED Please fill out this field.
  
  8x8_Brick 1
  
  Line_1 Please enter valid data.
  
  Line_2 Please enter valid data.
  
  Line_3 Please enter valid data.
  
  Line_4 Please enter valid data.
  
  Line_5 Please enter valid data.
  
  Line_6 Please enter valid data.
  
  8x8_Brick 2
  
  Line_1 Please enter valid data.
  
  Line_2 Please enter valid data.
  
  Line_3 Please enter valid data.
  
  Line_4 Please enter valid data.
  
  Line_5 Please enter valid data.
  
  Line_6 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
- Important Note! 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.
  
  Bricks come in two sizes:
  4x8 inches for $500: Provides 3 lines with up to 20 characters per line.
  8x8 inches for $1,000: Provides 6 lines with up to 20 characters per line.
  
  NOTE: Spaces and punctuation are included in the character count.
  
  You may order up to three 4x4 bricks and two 8x8 bricks on one form. If you wish to order more in one category, you will need to submit a separate form. If so, please make sure you provide the same Payee, Phone, and Email, on each form you submit.
  
  Online Payment Instructions:
  
  Select Our Church >> Contributions / Payments >> [Make an Offertory using VANCO Online Payment] You may log in as a guest or log into your Vanco account or even create a Vanco account from this page.
  
  Please make sure that the "Payee" first and last names on the order form matches the "First Name" and "Last Name" fields as your Vanco payment, whether provided as a Guest or as appears in your Vanco profile.
  
  Scroll down to the "Memorials" block and enter the number of 4x8 and 8x8 bricks you are ordering.
  
  Scroll to the bottom and select a Donation Frequency of "One Time" and your Order Total will update. Once you have confirmed your order, click the "Continue" button.
  
  You will be taken to a form to complete your name, address, phone, email, and payment information to complete your transaction.
  
  Click the "Process" button to complete your order.
  Go to Memorial Search