Burin Peninsula Health Care Foundation

Tree of Life & Memories.

Light A Tribute Bulb

Please complete this online form to light a tribute bulb on our 2025 Tree of Life & Memories.

Tribute bulbs can also be lit by visiting our office, or by calling (709) 891-3456.

If you wish to light more than one tribute bulb, please complete a separate form for each tribute.

**Deadline to light a tribute bulb: December 12, 2025**

Y‍‍‍‍‍‍‍‍‍‍‍‍‍‍‍‍‍‍‍‍‍‍‍‍‍‍‍ES! I want to light a tribute bulb on the 2025 Tree of Life & Memories.

Donor Full Name:‍‍‍ (For receipt)

Email:‍‍‍

Phone number:

Full Mailing Address:

In memory of:

(Name of the person(s) you are honoring)

Lit by:

(Your name, or the names you'd like displayed on Facebook)

I will be making a donation in the following amount:

I will send my donation:

Online: Click "Donate Now" after submitting this form

E-transfer: Send to [email protected]

By Mail: Send to Burin Peninsula Health Care Foundation, PO Box 340, Burin, NL A0E 1E0

If you’d like to include a photo of your loved one with your tribute, please upload it below.

Note: If you’re unable to upload your image, you can email it to [email protected]. Please include your loved one’s name in the email subject line.

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