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SUBMIT YOUR DEATH NOTICE ONLINE

Please submit within 2 weeks of the death.
 
Contact Person Name*


Contact Person Address


Contact Person Phone*


Contact Person Email Address*


Name of deceased


Where did the deceased live


Date of death


Place of death


One paragraph biographical information: (Hometown, schools and colleges attended, degrees earned, occupation, memberships, associations, etc.)


One paragraph of personal information which characterizes the deceased: (Personality traits, life achievements, interests and passions, etc.)


Preceded in death by a spouse or child?


Names of surviving family members?


Date and place of funeral


Photo Instructions:  please email your photo to photos@myconcordian.com
Be sure that the image has the same identifiable name as you entered above.

To prevent SPAM entries, please type the word VALID into the box.  



* Required Fields

Please verify that all information is correct and proofread your announcement carefully.

Note: If you don't have an electronic version of the picture you wish to send, you can mail the photo to:

 
The CONCORDIAN
P.O. Box 1246
Clayton, CA 94517
 

Please include a self-addressed, stamped envelope if you would like the photo returned.

 

 

 

 

 

 

 

 

 

 

 

 

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