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— Last Updated on March 01, 2010 —

Please submit within 2 weeks of the death.

Contact Person Name*

Contact Person Address

Contact Person Phone*

Contact Person Email Address*

Name of deceased

Where did the deceased live

Date of death

Place of death

One paragraph biographical information: (Hometown, schools and colleges attended, degrees earned, occupation, memberships, associations, etc.)

One paragraph of personal information which characterizes the deceased: (Personality traits, life achievements, interests and passions, etc.)

Preceded in death by a spouse or child?

Names of surviving family members?

Date and place of funeral

Photo Image Upload Instructions:
(Image will be discarded if these rules are not followed.)
1. Use the "Browse..." button to select the file from your computer.
2. Make sure the image size you are about to send is at least 3 MB,
but not bigger than 6MB.
3. The only format we accept is JPG.
4. You can also mail or bring your print to the office and we can scan it for you.

* Required Fields

Please verify that all information is correct and proofread your announcement carefully.

Note: If you don't have an electronic version of the picture you wish to send, you can mail the photo to:

The Clayton Pioneer
P.O. Box 1246
Clayton, CA 94517

Please include a self-addressed, stamped envelope if you would like the photo returned.