Luminary Registration Form

Chester Candles
P.O. Box 286, Chester, Nova Scotia
Canada
B0J 1J0

Ph (902) 275-5800
Fax (902) 275-5800

Please use the form below to register Your Luminary Candle.
Fields marked with an * are required.

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* First Name
* Last Name
E-mail
* Address
* City/Town
* Prov/State
* Country 
* Postal/Zip Code 
* Limited Edition Number
* Luminary Title
* Date Purchased or Received (mmddyy)
Is this your first Chester Candles Product?   Yes    No
What features do you enjoy most?
Check all that apply.
My luminary will be used to accent my home on the   Inside    Outside
I use candles   
I plan to spend $ on candles in the next 12 months.
I plan to purchase  Luminaries in the next 12 months.
I plan to purchase other Chester Candles products in the next 12 months -   Yes    No
Please Enter any Comments or Questions