APPLICATION FORM

Submit a Memorial Application

Enter the details to preserve the memory of your loved one. Once submitted, our team will create your memorial page.

1. Customer Information

Contact and relationship details

Full Name *

Relationship to the deceased *

Mobile Phone *

Telegram Account

Basic biographical information

Full Name *

Date of birth

Place of birth

Date of death *

Place of death

Life Story *

Portrait photos, photo albums, and voice recordings will be gathered by our administrator in the next step.

Passions, pastimes, and memories (all optional)

What made them happy?

What mattered most to them in life?

How did they like to spend their time?

How do we remember them?

Connect with an existing family memorial

If any relatives already have a memorial, please state their full name (first name, surname, patronymic) and relationship — we will link them.

Burial location and coordinates

Cemetery address

Xəritə üzərinə klikləyərək və ya axtarış edərək dəfn yerini seçə bilərsiniz.

💡 Click the map or drag the pin to set the grave location.

Latitude

Longitude

Select the desired memorial package

Enter and verify your promocode for a special discount.

Please complete the security check before submitting:

* Required fields are marked with an asterisk.