Subject:
Fields with a * must be filled.
Customer:
* First name:
* Name:
* Street / House no. :
* City:
* Zip:
eMail:
Obituary notice:
* First Name:
* Name:
* Born:
* Died:

A condolence-book with administration account for you? Example (Demo)
Yes, I will: (Please, click if desired!)
with a name and password:
    

Photo:
Photo 2:
Photo 3:
Photo 4:
Photo 5:
Photo 6:
Photo 7:
Photo 8:

DE LUXE ADVERTISEMENT

The Advertisement De Luxe costs 160. - Euros for 10 years and is designed according to your individual ideas and wishes.
Up to 8 large-sized photos can be published. A prolongation for another 10 years costs 10. - Euros.
Including Scan service.

Pre-register
Please transfer the amount of money to the following account:

R. Mahler
Bank: 1822direkt
Account no. 125 107 5230
Bank code: 500 502 01
IBAN : DE09 5005 0201 1251 0752 30
SWIFT-BIC.: FRASDEFFXXX

Or you send the money by certified mail in bar!
How shall the obituary notice look?

(I will contact you and present you a result of your ideas - changes are possible any time)