JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
My Memorial Project
We help you honor the memory of your loved ones.
Have you lost anyone to cancer or do you know a friend who has lost someone to cancer? Choose a project for them, for us to do, to honor their memory.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Whatsapp Number(if any)
Your answer
Full name of person lost to cancer
Your answer
Your relationship to that person
Your answer
What type of cancer did they battle?
Your answer
When did they pass on?
Your answer
How old were they?
Your answer
Choice of Memorial Project
We should produce an audiobook biography for your lost one to celebrate the part of them that was least known.
We should design a memorial poster for your lost one and an infographic of their achievements in life.
We should write an elegant poem for your lost one expressing what they meant to you.
We should create a beautiful slide show of them, their friends and family with their favorite soundtrack played in the background
We should setup a memorial facebook page for them which you could use to receive well wishes and donations from around the world.
We should compose and record a farewell song for them.
Other:
Amount You Wish To Donate
Biography:Audio ($100)
Memorial Poster ($25)
Written Poem ($50)
Spoken Word Poem ($100)
Slide Show ($50)
Facebook Page:Self Managed ($500)
Facebook Page: Co-Managed ($1500)
Farewell Song ($100)
Preferred Mode of Payment
Paypal (send to
sagoeedmundkojo@live.com
)
Skrill / Moneybookers (send to
sagoeedmundkojo@live.com
)
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms