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Cross Usage FormPermanent Link to "> Cross Usage Form

 crosses020

Marion Citizens For Life
“Cemetery of the Innocent”
Form for Cross Usage

 

 

 

 

Please Complete All Required Fields

 

Person Who Will be Responsible for the Crosses, Sign, and Trailer


First Name (required)

Last Name (required)

Telephone Number (required)

Email Address (required)

 

Driver Information


First Name (required)

Last Name (required)

Telephone Number (required)

License Plate Number (required)

Insurance Company (required)

Policy Number (required)

Location empty trailer will be parked

 

Location Crosses Will Be Displayed


Name of Location

Address

Telephone Number

 

Cross Pickup Information


Pickup Date (required)

Proposed Date of Return (required)

Your Message

 

 


 

Trailer Information:

  • 1 7/8″ ball hitch
  • 4 prong blade wire attachment for light hookup
  • 6’x10′ trailer (can be pulled by a mini van or anything larger)

 

Trailer Pickup Check List:

  1. Key…
  2. Do “light check” after trailer is hooked up.
  3. Tire Pressure

Make sure you have:

  1. The Crosses
  2. The Sign (2 signs; 2 T uprights (black); 1″x8′ sign joiner bar; 4 cables; 8 wing nut bolts; 4 stakes)
  3. Hammers
  4. Tapes

 

If your group would like to help us maintain the crosses and trailer please consider a donation ($20 suggested) to Marion Citizens for Life @ 24197 Township Road 230, LaRue, Ohio 43332


 

Contact Information:

Main Contact:  Bob Gliem  740-389-2819   email: brgliem@gmail.com

Chairman Dale Claes  740-262-1359

Pastor John Jones   740-382-6270 (church number)  other: 740-360-8002

Gayle Oboy  740-389-3608


 

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