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Adding a Personal Tribute to the Living Tribute of Patricia A. Gallenz.

Personal Tribute Information
Please enter the information in the fields below.
When you have completed the form press the Continue button at the bottom or the page.

* Authors First Name:
Authors Middle Name:
* Authors Last Name:
Relationship: (ie. Son, Daughter)



Contact Information
Your email address and phone number are only required in case we need to contact you regarding your order. Your information will not be released to any third party.

* Your e-mail Address:
Your Telephone Number:



Personal Tribute message
* Enter your Personal Tribute in the textarea below.




Personal Tribute Photograph
Select a photograph to add to this Personal Tribute. ( This can be done at a later time.)
Click the browse button and a dialog will pop up so you can browse your pc for the image file to upload.

Note: Photographs must be in GIF, JPG or PNG image format and must be as close to 200 x 220 pixels (width x height) as possible.




Please send your additional comments or questions to info@livingtributes.com.
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