RoadPeace

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To create an internet memorial, please fill in the information requested in the following step-by-step guide. For more assistance please see the guide to creating a memorial. After RoadPeace has created the memorial we will ask you for a voluntary contribution (we suggest a minimum of Ł20) to help us meet the costs of this service and to pay for our other work on behalf of victims of road crashes.

Step 1 : About You.

Note: With the exception of your relationship to the victim, the information you supply on this page will not be made visible to the visitors of this site.

*Your name(s):
Your 'phone number:	(Daytime)
	(Evening/Weekend)
Your E-mail address:
*Your postal address:
I am/we are the victim's...(+)
*RoadPeace may contact me for special campaigns or help:	Yes No
	* I have read and accept the terms and policy of this site.
* Please be sure to fill in the boxes marked with an asterisk.

(+) The relationship to the victims is optional if more than one victim is involved.

Memorial Site Design and Development by Hallvord Steen and Dr. Alan Moran
In the event of technical difficulties please contact the Webmaster.
Copyright Š 2003, RoadPeace UK. All rights reserved.
Last update: Sun Feb 13 2005.