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)
Your Email or Phone: (Required) For emergency contact purposes only. Our promise not to share your personal information.
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

MAIL PAYMENT TO:
Fresca Group <><
P.O. Box 578865
Modesto, CA 95357
(Or 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

form mail

www.InHisPeace.com