Provide your loved one's details to create a memorial page

	All fields marked with * are mandatory
Memorial Subscription	Free for 21 days
First Name *
Middle Name
Last Name*
Known as or Nickname
Born on*	Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / Month January February March April May June July August September October November December / Year 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 Please select birth Day Please select birth Month Please select birth Year
Passed away on*	Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / Month January February March April May June July August September October November December / Year 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 Please select passing Day Please select passing Month Please select passing Year
Birth Place
Home Town / City*
Country*	Select Afghanistan Albania Algeria Andorra Argentina Angola Anguilla Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Burma Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Canada Cambodia Cameroon Cape Verde Cayman Islands Chad China Chile Cocos Colombia Comoros Congo Cook Islands Costa Rica Cote DIvoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Egypt El Salvador Ecuador Equatorial Eritrea Estonia Ethiopia Fiji Finland France French Guiana Gabon Gambia Gaza Strip Georgia Germany Ghana Gibralter Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea Bissau Guyana Haiti Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Isle of Man Italy Jamaica Jersey Jarvis Island Japan Jordan Kazakhstan Kenya Kiribati Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritius Mayotte Mexico Moldavia Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Cypress Northern Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto-Rico Qatar Reunion Romania Russian Federation Rwanda San Marino Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sri Lanka Slovakia Slovenia Solomon-Islands Somalia South Africa South Georgia Spain St.Helena St.Lucia Sudan Suriname Svalbard Swaziland Sweden Switzerland Syrian Arab Tajikistan Tanzania Taiwan Thailand Togo Tokelau Tonga Tunisia Turkey Turkmenistan Turks Tuvalu Uganda Ukraine UAE United States United Kingdom Uruguay Uzbekistan Vanuatu Venezuela Viet Nam West-Bank Western Sahara Western Samoa Yemen Yugoslavia Zaire Zambia Zimbabwe
Web Address *	www.rememberingme.info/ Tip: enter your loved one's name or something that is easy to remember. This will become the unique web address you enter in a web browser to view the memorial page.
	Web Address must contain only letters and numeric values and no spaces.

Tip: enter into this area your loved one's family tree, and include a memorial link to those who have passed and have a RememberingMe memorial page. Family Tree	Name www.rememberingme.info/ Please select Grandfather Grandmother Father Mother Brother Sister Wife Husband Son Daughter Uncle Aunt Niece Nephew Cousin Step Family Other
Tip: enter a Facebook web address if you would like a link included to direct people to your loved one's Facebook page. Facebook URL
Tip: place a pin on the map where your loved one's physical memorial is located, or where their ashes are scattered, if you would like a map to display on the memorial page. To zoom in use the '+/-' buttons or double click the left mouse button on an area of the map. Physical memorial location or site where ashes scattered
Timeline & stories about your loved one
Important notes or just things that remind you of your loved one
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