Before you fill out the form, please ensure that you have chosen your frame type, flowers, midis and/or poem name.


Don't worry about loosing your place, a separate window will open for each of the pages below. It will not close this window.

THIS FORM IS TEMPORILY OUT OF SERVICE! Please send the info here

What is your name (Full Name - First and Last)? Where are you from? What is the name of the Person for the Memorial? Is the Memorial Page for a Child or Adult? What is your relationship to the Person for the Memorial? What is the url link for the Memorial (if they have one)? Your real E-mail address? The E-mail address you want mail sent to? What is the name of the song you want on the Memorial? Do you want to use one of our poems on the Memorial? YesNo What is the name of the poem you want on the Memorial? Do you want a frame around the picture? YesNo What frame would you like - Gold Heart or Wooden Frame? Do you want flowers? YesNo What is the number of the flower bouquet you want? Do you want to join "In Loving Memory" YesNo Please put all the information you can about the Person's Memorial.This may include: Photographs, Sounds, Poems, Funeral details, (ie: what eulogies were given, what songs were played, prayers, psalms.etc). Anything you would like to say about the person.

Send a email with the full responses to here:

Just copy and paste the following into a email and add the information. Thank You!

What is your name (Full Name - First and Last)?

Where are you from?

What is the name of the Person for the Memorial?

What is your relationship to the Person for the Memorial?

Is the Memorial Page for a Child or Adult?

What is the url link for the Memorial (if they have one)?

Your real E-mail address?

The E-mail address you want mail sent to?

What is the name of the song you want on the Memorial?

Do you want to use one of our poems on the Memorial?
Yes No

What is the name of the poem you want on the Memorial?

Do you want a frame around the picture?
Yes No

What frame would you like - Gold Heart or Wooden Frame?

Do you want flowers?
Yes No

What is the number of the flower bouquet you want?


Do you want to join "In Loving Memory"
Yes No

Please put all the information you can about the Person's Memorial.This may include: Photographs, Sounds, Poems, Funeral details, (ie: what eulogies were given, what songs were played, prayers, psalms.etc). Anything you would like to say about the person.

Please send a relevant URL, if you have one. A relevant URL is one that may point to a webpage that you have dedicated to that person, for whom the memorial is being created. Please do not give any other kind of link.

If you haven't got a webpage, and you would like to dedicate a Memorial to your loved one, then please send me everything via Email and I will gladly make the page up for you.
You are very Welcome and there is No charge.

This may include: Photographs, Sounds, Poems, Funeral details, (ie: what eulogies were given, what songs were played, prayers, psalms.etc). Anything you would like to say about the person.

View A Sample Memorial For An Adult
View A Sample Memorial For A Child