Information for a Departed Daughter

To submit an In Memoriam for a departed Daughter, please complete the form below. Please allow three business days for our office to process your submission.

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Departed Daughter's Information
Daughter's First Name *		Daughter's Last Name *
BirthdatePlease enter as mm/dd/yyyy.		Date of Passing *Please enter as mm/dd/yyyy.
Province *		Diocesan Assembly *
Church Name		Chapter Name
Brief description of her time as a Daughter *	750 of 750 characters remaining
Picture of Daughter (preferably as a jpeg) *Highly recommended - Clicking on Choose File will allow you to attach a file from your computer.
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Submitted By
First Name *		Last Name *
Email Address *		Phone *

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