Create an In Memory Page

Thank you so much for choosing to make an In Memory page for your loved one, and for asking that gifts be made in support of future care at Victoria Hospice.

Please complete the form below so that Victoria Hospice staff can create the In Memory page. As soon as this is done (typically within 1-2 business days) we’ll send you a link to the personalized page that you can share with family and friends.

Create In Memory Page

Your Loved One's First Name*
Your Loved One's Last Name*
Preferred Full Name
e.g. Mrs. Smith, Mrs. Elizabeth Smith, Liz Smith, etc)
Deceased Date
MM slash DD slash YYYY
Image
Accepted file types: jpg, gif, png, Max. file size: 100 MB.
This Page Is For My
Your First Name*
Your Last Name*
Email Address*
Address
City
Province
Postal Code
Country
Phone Number
In Memory Page Message
(Help text: If you wish. please write a personalized message that will appear on the In Memory page to inspire visitors to make a gift)
Thank you Message
(Help text: Personalize a Thank You message that will be shared when a donation is made In Memory of your loved one, If nothing is entered, the reply will be “Thank you for your donation in Memory of ________”)
By Invitation Only
Select this option if you would prefer not to have the In Memory Page appear on the In Memory Page Directory. A private web link will be provided to be shared with friends and family.
- By Invitation Only
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Give a Gift of Compassion

Create In Memory Page

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