Welcome to Dearly memorial

Memorial Request Form


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Memorial Request Form

Please fill out completely. (Do not hit return)

Your Name:

Email Address:

Your Loved Ones Name:

Your Loved Ones Birth and Death Dates: (in that order)

Homepage URL: (Optional)

What you would like written on your memorial page about your loved one?

How did you find out about us?


On Children and Babies, You may say what song you want,
They are "Jesus Loves Me" and "Hush Little Baby".


If you would like a photo of your loved one on your memorial, please send it to me by E-Mail along with your loved one's full name. You may also request that we link to your existing guestbook on your Dearly memorial page.

If, for some reason the 'submit form' function does not work properly, send an email directly toFlo @ Dearly memorial with the above requested information. Please put "Dearly Memorial Request" in the Subject line. Thanks!

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Flo Williams Copyright © 1998-2004 Dearly Memorial
"All Rights Reserved"


Nothing on this page may be reproduced without permission.
Deaarly Memorial was founded, created and designed by Floria Williams And Tina Packer On April.10,1998