In Memoriam - Submission Form

SOCIETÀ ISOLE EOLIE MELBOURNE
836 LYGON STREET, CARLTON NORTH, VIC. 3054 AUSTRALIA

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In Memoriam Submission Form

If you have a passed relative who was part of the Società Isole Eolie and would like them to be added to the In Memoriam page on our website, please fill out the form below.

Entries will be reviewed and published once a month.

Back to In Memoriam Page

Please fill out the form to add your passed relative to our In Memoriam page.

Your Passed Relative Details:

First Name*

Last Name*

Date of Birth*

Place of Birth

Date of Death*

Place of Death

Details:

Your Details

Your First Name*

Your Last Name*

Relationship to relative*

Your Email*

Photo of passed relative

You give permission for the SIE Melbourne to place this information and photo on our website.

I accept

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