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Digital Memory Quilt Form

Return to Digital Memory Quilt

If you would like to submit a photo to the Digital Memory Quilt, please fill out the form below. Once your submission has been reviewed, it will be added to our digital Memory Quilt. 

Memory Quilt
Your Name
Your Name
First
Last
Name of Loved One
Name of Loved One
First
Last

Maximum file size: 268.44MB

Are you looking for the memory quilt page? Click here to go to the memory quilt page.

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Copyright © 2025 LOSS Community Services
Sponsored by ADAMH
LOSS Community Services is a 501c3 organization. View annual report here

Contact Us

LOSS Community Services
3040 Riverside Drive, Suite 224
Columbus, OH 43221
Phone: 614 - 530 - 8064
Email: Team@losscs.org
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Stay Connected

Subscribe to the Quarterly LOSS Newsletter

Newsletter Archive >
Home
Resources
Events
Volunteering
About Us
Hotlines

Contact Us

LOSS Community Services
3040 Riverside Drive, Suite 224
Columbus, OH 43221
Phone: 614 - 530 - 8064
Email: Team@losscs.org
Facebook Instagram Twitter
Sponsored by ADAMH
Copyright © 2023 LOSS Community Services