Burning Man Remembrance Plaque
The Remembrance Plaque will be displayed at the Man Base.
Please fill in as many or as few of the optional fields as you would like.
Submissions must be received by July 20th to be included on this year's plaque.
Submissions after the 20th will be added to next year's plaque.

With the maximum number of elements, the plaque listing of names will appear like this:

First Middle “Playa” Last

Their First Name
Your answer
Their Middle Name
Your answer
Their Playa or Nick Name
Your answer
Their Last Name
Your answer
Is there anything you would like to share with us about your loved one?
Your answer
Your Name *
Your answer
Your email address
We will only email you if we have a question about your name submission, or to send you an image of the plaque.
Your answer
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