A Page in Memory of a Loved One

A Page in Memory of a Loved One
By completing this form, a tribute page will be created in memory of a loved one. This page can be shared with family, friends and loved ones to invite those who wish to make a donation to cancer research in his/her name. Every donation received will be counted and associated with their memory, highlighting the lasting impact of their life and contributing to a cause that brings hope.
Name of the Deceased (as you wish it to appear on the webpage)*
Birth Date*

DayMonthYear
Date
Date of Passing*

DayMonthYear
Date
Obituary / Personal Message*
As an expression of your sympathy, the family would appreciate a donation to the Cancer Research Society (CRS).You may use this text, modify it, or replace it with your own message.
Photo of the Deceased

Formats acceptés : pdf, jpg, jpeg, png, gif, Taille max : 10 Mo
Cancelof

Funeral / Memorial Service Information