Website Form

Request form
(fill out the form below for your loved one's website)

Loved Ones First Name: (Required) Example: www.LovedOnesName.InHisPeace.com
Loved Ones Last name: (Required)
Loved Ones Date of Birth: (Required)
Loved Ones Date of Death: (Required)
Loved Ones City: (Required)
Email (Required) (Your Personal information will NOT be shared)
Phone Number: (Your Personal information will NOT be shared)
Would you like your loved one listed on "Memorials" page? (Required) (*"Memorials"* is at the top of the page)	Yes No
Payment Type: (Required) We will send a Paypal invoice and once payment has cleared your website will be viewable. (You don't need a paypal account to use this type of payment) Only $50 - One Time Fee!	Visa MasterCard Amex Discover
Questions or Comments:
After you submit form click on "CONTINUE" at the top of the next page

(Please send A One Time Fee of $50 for your Memorial Website)
We accept Visa, Mastercard, American Express, Check or Money Order

(You will receive a paypal invoice in your email
and you can pay it through secured paypal.
You don't need a paypal account to do this.)

__________________________

Please add any other information or pictures you would
like on your website or you can also email your loved one's obituary.

Feel Free to email us with any questions or comments you may have:
Email: ihp316@yahoo.com
AOL users click here to email

www.InHisPeace.com


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