2019 MEMORY MILE MARKER REGISTRATION:
For a donation of $25 to Missing Alexis, LLC, your child's name can be included upon a marker that will be placed along the Walk route and seen by all participants as they travel the loop trail. At the end of the Walk, all markers will be collected, and given to the respective families. Following completion of this form, you will be directed to a PayPal link for marker payment. Marker orders must be prepaid.

MEMORY MILE MARKER REGISTRATION WILL CLOSE ON SUNDAY, SEPTEMBER 22, 2019.

Email address *
CONTACT INFORMATION:
Your First Name: *
Your answer
Your Last Name *
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Street Address: *
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City: *
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State: *
Your answer
Zip Code: *
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Telephone Number: *
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BABY'S INFORMATION:
Please give the baby's FULL NAME, date of birth, and date of death (sometimes these are the same date). If the child was not named, please use Ex. "Baby Smith, January 5, 2008." *
Your answer
MEMORY MILE MARKER PAYMENT:
Once you hit the "Submit," button to confirm your order, you will be taken to a link for marker payment. Each marker is $25. You do not need to have a PayPal account to use this link. Please include your name and the baby(ies) name in the payment notation section. Memory Mile Marker orders cannot be fulfilled without payment submission.
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