Memorial Wall SIGN up

NOPE Task Force, Inc.
3233 Commerce Place, Suite A
West Palm Beach, FL 33407
561.478.1055 Phone

Add your story...

Please Join NOPE in remembering those lost to drug and alcohol related incidents by including your loved ones photo and a brief story, poem, or message to be placed on Memorial Wall and Memorial Video. Stories will be viewed at all vigil locations.

Please submit information and photos early to insure placement on both the video and the wall. Submission deadline is October 1st 2010. Photos submitted after the October 1st will be placed on the 2010 memorial wall only. All Memorials submitted after the deadline will be included with the 2011 Memorials.

Candle Light Vigil Memorial Wall Form

Please fill out and submit the form below to add your story to the memorial wall and memorial video.

Submitters Name:
   
Address Street:
   
Suite/Apt:
   
City: State: Zip:
   
Phone:
   
E-mail:
   
Number of persons attending Vigil:
   
Name of loved one you wish to memorialize:
   
Relationship to loved one you:
   
Date of birth: Deceased:
   
Cause of Death:
   
City: State:
   
Attach Files
Please include a photo and a word document with a brief description, story or poem for loved one below.
Attach Photo
Attach Doc   
(Maximum file size for photo should not exceed 500K.)
Note: Your file may take considerable time to upload depending on the file size and your Internet connection speed. Please be patient.
 

 

 

Memorial Wall/Video Printable Submission Form

Please submit photos prior to October 5th to insure Placement in the Memorial Video. All photos submitted will be placed on Video and Memorial Wall at all Vigil locations unless otherwise noted. Photos received after October 5th will be placed on the Memorial Wall only. NOPE task Force expresses our deepest condolences for your loss.