CANDLELIGHTS FOR A CURE
an online memorial for those lost to COVID-19
Online Memorial for those lost to COVID - 19 Registration
Please complete form below and upload photo and memory of your lost one to be placed on our website candlelightsforacure.com
Your Loved One's Name
First Name
Last Name
Please add any memory or verbiage you would like to accompany the photo:
Your Name
First Name
Last Name
Your Phone Number
-
Area Code
Phone Number
Your Email
example@example.com
File Upload
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By signing below you are giving permission for Candlelights for a Cure to display your loved one's photo and memory for the purpose of being part on an online memorial (candlelightsforacure.org)
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