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Submitting to the Virtual Donor Memorial


IIAM invites all research donor families to participate in the Virtual Donor Memorial. This Virtual Memorial is dedicated to the memory of your loved one's donation to medical research. There is no deadline and you and your family can participate at any time. Below are some instructions and guidelines for how you and your family can participate in the Memorial. Also below is a release form that allows IIAM to display the item submitted by your family on our website. Please complete and sign the release form and return with your loved one's photo.

Instructions:

  • Submit a photograph of your loved one; we would prefer a copy rather than an original. Original photographs may not be returned.
  • Electronic/digital photos are also accepted via e-mail. These can be sent to Angie Dianese
  • We invite you to share information about your loved one that can be included on our website. This can be a short poem or story and be no more than 100 words in length.
  • We ask that only one photo per donor family be submitted.
  • Within 4 weeks we will send you and your family a letter confirming receipt of the photo.
  • To view your loved one's tribute or to see samples of other family's tributes, please launch the Virtual Donor Memorial. Click on the photo to read the donor's tribute/memorial.
  • If you have any questions regarding participation in the Memorial,
    please contact
    Angie Dianese or call her at 570-496-3441.


Virtual Memorial Donation Release Form:

VirtualMemorial_DonationRelease_Form.pdf



Please complete and sign the release form above and return to Angie Dianese at:

IIAM Olyphant Office
ATTN: Angie Dianese
1175 Mid Valley Drive,
Olyphant, PA 18447

or fax your completed form to 570-496-3423.


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