© 2008-2016 Leona L. Gustafson

Cemetery Photo Request Form
We take photos in the following counties:
Franklin • Delaware • Fairfield • Licking • Madison • Pickaway • Union

It is with deep regret that we might find it necessary to ask for payment to cover the cost of gas. I will send an estimate when I receive your request(s). No pictures taken from December 1 to March 31

Submitting your Requests: Use a separate form for each cemetery. The form below is made for up to 10 headstone photo requests, if you need additional space please submit a second form. Please allow four to six weeks for us to get the photographs to you. (We are a retired couple trying to help in our spare time.) PLEASE!! Use your mouse or Tab button to navigate the form. Pressing enter may cause the form to submit. Fields marked with * are required. If you have any questions please email me at llgbug@genealogybug.net

* Submitted by:
* E-mail address:
STOP!!
Double check your E-mail address.
* COUNTY:
* CEMETERY:

LAST NAME: FIRST NAME: DATE of DEATH (approx. OK); DATE of BIRTH (approx. OK): SECTION Number (if known): LOT Number (if known): Comments:	LAST NAME: FIRST NAME: DATE of DEATH (approx. OK); DATE of BIRTH (approx. OK): SECTION Number (if known): LOT Number (if known): Comments:
LAST NAME: FIRST NAME: DATE of DEATH (approx. OK); DATE of BIRTH (approx. OK): SECTION Number (if known): LOT Number (if known): Comments:	LAST NAME: FIRST NAME: DATE of DEATH (approx. OK); DATE of BIRTH (approx. OK): SECTION Number (if known): LOT Number (if known): Comments:
LAST NAME: FIRST NAME: DATE of DEATH (approx. OK); DATE of BIRTH (approx. OK): SECTION Number (if known): LOT Number (if known): Comments:	LAST NAME: FIRST NAME: DATE of DEATH (approx. OK); DATE of BIRTH (approx. OK): SECTION Number (if known): LOT Number (if known): Comments:
LAST NAME: FIRST NAME: DATE of DEATH (approx. OK); DATE of BIRTH (approx. OK): SECTION Number (if known): LOT Number (if known): Comments:	LAST NAME: FIRST NAME: DATE of DEATH (approx. OK); DATE of BIRTH (approx. OK): SECTION Number (if known): LOT Number (if known): Comments:
LAST NAME: FIRST NAME: DATE of DEATH (approx. OK); DATE of BIRTH (approx. OK): SECTION Number (if known): LOT Number (if known): Comments:	LAST NAME: FIRST NAME: DATE of DEATH (approx. OK); DATE of BIRTH (approx. OK): SECTION Number (if known): LOT Number (if known): Comments:
Check to be sure your E-mail address is correct before submitting form!