Memorial Submission Form

NRUUF Memorial Page Submission Form

The NRUUF has been around since 1961. Of course, we have lost many beloved members over the years and we would love to keep building our memorial page. If you know of someone we should add, please fill out this form and we will add them to our Memory Wall. Fill out as much information as you can. Only the name and your contact info is required.

Your Contact Information

Please let us know who is making this submission and how we can reach you if we have further questions.

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Details of the Deceased

Click the "Add Individual" button to add another deceased individual.

Individual {binding ItemNumber}

Name of Deceased {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

Please give us the name of the deceased as you would like it to appear in their memorial. If this form doesn't fit the way the name should be displayed, please give us the correct version in the Comment/Description box.

{ binding firstError.message }
{ binding firstError.message }
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If there are other links, you may include them in the comments section.

{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
{ binding firstError.message }

Please give us any relevant information about the deceased that you would like to have included in the online memorial.

{ binding firstError.message }

Memorial Submission Form

NRUUF Memorial Page Submission Form

The NRUUF has been around since 1961. Of course, we have lost many beloved members over the years and we would love to keep building our memorial page. If you know of someone we should add, please fill out this form and we will add them to our Memory Wall. Fill out as much information as you can. Only the name and your contact info is required.

Your Contact Information

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Best Phone Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

Details of the Deceased

Individual {binding ItemNumber}

Name of Deceased {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Preferred Gender Pronoun {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Deceased was affiliated with the NRUUF since: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Link to Online Obituary or Memorial Page {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Photo of Deceased {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
Details / Comments {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Memorial Submission Form

NRUUF Memorial Page Submission Form

The NRUUF has been around since 1961. Of course, we have lost many beloved members over the years and we would love to keep building our memorial page. If you know of someone we should add, please fill out this form and we will add them to our Memory Wall. Fill out as much information as you can. Only the name and your contact info is required.

Your Contact Information

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Best Phone Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

Details of the Deceased

Individual {binding ItemNumber}

Name of Deceased {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Preferred Gender Pronoun {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Deceased was affiliated with the NRUUF since: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Link to Online Obituary or Memorial Page {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Photo of Deceased {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
Details / Comments {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Cognito Forms{{ Cognito.resources["powered-by-cognito"] }}