Please use the fields provided to submit the name and dates of birth/death of the loved one you would like to have included in 'A Backward Glance - Memories of Defiance, Ohio'.
One Memorial Name per Purchase
Instructions:
Please include the full name of your loved one, exactly as you would like it to
appear in the Memory Book. Maiden names, nick names, middle names
or initials are welcome as long as the following formats are used:
Examples:
George Howard Sanderson
Robert 'Bob' Heilshorn -- (for nickname)
Joyce L. (Sanderson) Heilshorn -- (for maiden name)
Include the dates of birth/death of your loved one in one of the
following formats:
May 8, 1920 - February 4, 2011
1952 - 2008
May 1967 - October 2018
April 25, 2002 -- (stillborn child)
Add a Memorial Name to 'A Backward Glance'
As a thank you for including your loved one's name, you will receive a coupon certificate for 20% off the purchase price of 'A Backward Glance - Memories of Defiance, Ohio' upon its release. This certificate will be emailed to you, so please provide a current email address.
Only one coupon may be redeemed per book.
Coupon may only be used once.