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Add a memorial


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
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):

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