About You
Name
*
First Name
Last Name
Email
*
example@example.com
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About Them
Funeral Director Name (Optional)
First Name
Last Name
Funeral Home Name (Optional)
Where is this funeral home located?
Please just enter the city and state.
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Your Message
How would you like to share your story? A video message carries something a written one can't, but either is a gift.
Write It
There's no right way to say it. Just tell us what you remember.
If you have photos that you'd like to share with your story, please add those here.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Record It
Record a short video and upload it here. A minute or two is plenty, just speak from the heart.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
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Permissions
We'd love to share your story publicly so others are inspired to do the same, but only if you're comfortable.
I give Chptr permission to:
*
Share my story publicly and with the funeral home (Your story may appear on this page and in future Chptr campaigns.)
Send my story to the funeral home only (We'll pass it along privately. It won't appear on this page.)
Share my story publicly, but anonymously (Your name won't appear. Your story will.)
Send My Thank You
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