In Memory of Our Loved Ones

Email Info Below to: contact@ourlovedones.com
Put in Subject Line of email: Add Loved One

NO Emails with Attachments will be accepted or opened

OR: PLEASE PRINT PAGE
And Mail Form to Address at Bottom of page
If no printer, put info. on piece of paper.

Thanks!



Your Email:__________________________________________________

Name of Loved One: _________________________________________________________

Your relation (my mother, my child, friend, etc):______________________________________________

Category to be placed (mothers, fathers etc.):_______________________________________________

Date of Birth/Death:________________________________________________________

If you have a memorial site in memory of your loved one add it here: http://_______________________________________________________________

Your memorial/tribute: (up to 6 lines)

________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________


How you want this Signed (ie:Love, Mom, Always Dad, etc):__________________________________

This is FREE for up to 6 lines





Please Email address above or
Send form to:
In Memory of Our Loved Ones
63 Saxonia Ave
Wyckoff, NJ 07481
USA


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