Please fill out this form if you would like to add your child to the memorial wall. If you have more then one child you would like to add please feel free to either fill out more than one form or email me the information at angelheart@post.com

Your Name: Your Email: Your HomePage URL: Your Child's Name: Child's Date of Birth: Date Child became an Angel: Cause of Death: Where from? (state or country): What you want your memorial to say: Comments:

Updated August 8, 2000
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Please do not take any of the set or the graphics.
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