[fu-upload-form suppress_default_fields=”true” title=”Memory Quilt Submission: Add an image and note about your loved one below. After approval, it will be added to the memory quilt. Thank you.” post_type=”memory_quilt” form_layout=”post_media” append_to_post=”true” success_page=”http://www.timothyjturner.com/wpdev/franklincountyloss/digital-memory-quilt-successful-submission/”]

Please fill out the fields below to add a digital memory quilt submission. You can include the optional note about your loved one. The note can include something you want to share, like a memory about your loved one. Thank you for being a part of our community and for your submission.

[input type=”text” name=”dmq_submitter” id=”dmq-submitter”
class=”required” description=”Your Name”]
[input type=”text” name=”post_title” id=”dmq-email”
class=”required” description=”Your Email Address”]
[input type=”text” name=”dmq_first” id=”dmq-first”
class=”required” description=”First Name of Loved One”]
[input type=”text” name=”dmq_note” id=”dmq-note” description=”Include a note about loved one (optional)”]
[input type=”file” name=”photo” id=”dmq-photo-submission”
class=”required” description=”Attach a Photo of your Loved One”](images of similar width and height will display on the quilt the best)
[input type=”submit” class=”btn” value=”Submit”]

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