In Memoriam Submission

Fill out the form below if you would like to have a person or pet added to our in memoriam page. We will contact you after submission to request a photo, the photo will need to be in JPEG format.

* Indicates required field

Submitters Name *

First

Last

Submitters email address *

Submitter's Phone Number *

Honoree's Name (for pet use family last name) *

First

Last

Do you want CLF to accept donations on behalf of honoree? *

Yes No

Person to be notified of dedication *

First

Last

Address to send dedication to *

Line 1

Line 2

City

State

Zip Code

Country

Email of family member to be notified of in memoriam submission *

Thoughtful comments to be added to submission *

Submit