Register with Milestones

If you have the items mentioned in What you will Need at hand you are now ready to

Submit Your Registration.

Milestones Memories Registration Form

I am in possession of a death certificate: *

The reference number on the death certificate:

This is usually found in the top right corner, rarely more than ten digits.

Name of the deceased: *

First

Middle

Last

Maiden Name, or other Surname (if applicable):

Date of death: *

Place of death: *

Date of birth: *

Place of birth: *

Please provide your brief profile here: *

50 - 200 words

Photograph (optional):

Click or drag a file to this area to upload.

Allowed file types: .png, .jpg
Max file size: 10 MB
Number of files allowed: 1

I understand that Milestones:
• will add a standard or a special Invitation to complete the Brief Profile
• may edit the text I have provided to comply with their Protocol
• will clear any changes with me before displaying the Brief Profile+Invitation in milestonesscotland.co.uk
• make no charge but will seek a donation

I authorise & request you to display the above in your website – milestonesscotland.co.uk *

Please tick to confirm your understanding.

Now we need your name, email address and authorisation, please

Name: *

First

Middle

Last

Your email address: *

Confirm Email

Your relationship or connection to the deceased: *

For example: wife, son, granddaughter, friend, ex-colleague, admirer.

I have read and accept your terms & conditions

I authorise and request you to display this information in your website – milestonesscotland.co.uk *

Please tick to confirm your authoristation

Please give your postal address (optional but advised):

Milestones Scotland

Milestones Scotland

Register with Milestones