Legacy Preservation

Memorial Creation Form

Complete the following form to request the initial creation of a memorial website. Once the request is processed, a custom form will be sent to the "primary" administrator via email in order to submit additional memorial information and media uploads.


Memorial Site Administrator(s) Information


Primary Site Administrator (required)

First Name Last Name

Email

Secondary Site Administrator (optional)

First Name Last Name

Email


Memorial Site Information

Memorial Site Name Preferred Website Format Memorial - "ABC.org/John.W.Smith, ABC.org/JohnWSmith, or ABC.org/JohnWilliamSmith, etc"

Memorial First Name
Memorial Middle Name
Memorial Maiden Name
Memorial Last Name
Memorial Date of Birth (MM/DD/YYYY)
Memorial Date of Passing (MM/DD/YYYY)

Memorial Introduction

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