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Plant a tribute
This form is for those who wish to honor someone lost to suicide. Please complete the details below to help us create a tribute filled with love and dignity
First name of the person you are honoring
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Last name of the person you are honoring
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Your tribute / story (Share a few words, a memory, or a message you'd like others to read.)
*
Upload their photo(optional)
Click to choose a file or drag here
Size limit: 10 MB
Date of birth
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Date of death
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Location (City and state where they lived or where you're remembering them from.)
Your name
*
Relationship with the person
*
Your email ID (For confirmation purposes)
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I give permission for my tribute and the photo (if provided) to be published on The Flannel Field.
*
I give permission for my tribute and the photo (if provided) to be published on The Flannel Field.
Yes
No
Submit