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Online Memorial Garden
Remembrance Page Information Help   Help for this page
Who is being remembered?             (or, do you wish to give a  Gift Certificate?.

Please use the   TAB Key   to step from field to field.

Full Name: * Interested in: *
Birth Date: * Death Date: *
Birthplace: * Interred: *
  Is there an Epitaph?    If Yes: 
Brief (500 word) Biography:
Do you wish a picture:  Describe if not 'attachable': 
Does this person have any references on the web now?  If Yes, or not sure, provide URL's: 
Name of Charity link:  If 'Other': 

How is this person related to you (e.g., relative, friend, or someone you wish to honor):


Contact Information

Name, Mailing Address & Phone Number(s)

Please indicate enough to be able to contact you.
Full Name: * Wish a Gift Certificate?  
E-Mail: * Phone: *
Preferred response:  Snail~Mail Address: 

Gift Certificate Recipient Information

Full Name:
Preferred means of delivery :  Snail~Mail Address: 

   Press 'Back' if you have decided NOT to submit this form. Thank you!

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