Memorial Form – Ray of Hope

Your Information:(Required)

First Last

Email(Required)

Phone

In Memory of

In Memory Of:(Required)

First Last

Date of Birth

Date of Death

Do you want to add a memorial Message to your Page?

Yes

Memorial Message

NOTE: Please thoroughly proofread your submission and be sure to include paragraph breaks. You will not be able to edit your dedication once it has been submitted.

Upload a Photo:(Required)

Accepted file types: jpg, png, jpeg, Max. file size: 128 MB.

Choose a file from your computer, tablet, or phone. This can be a photo of your loved one, or a symbolic image that reminds you of them.

Please note: your submission will need to be approved by the website administrator before it appears on the website. You will receive an email when it is added to the page.