Add a memorial
FREE !
Print out this form, fill in the necessary details, and send it together with a suitable photograph and
copy of the death certificate to:
The Virtual Gravesite
PO Box 484
Sanlamhof
7532
South Africa
If you do not have a printer, a neatly-hand-written version is acceptable.
Order form for online memorial
Your name:
Your postal address (so we can return the photograph):
Your home telephone number:
Your work telephone number:
Your email address:
Full name of the deceased:
Deceased's date of birth:
Deceased's date of passing:
Eulogy (maximum 600 words):