Place a tribute in a Schneps Media newspaper

I agree that the fee paid on this form will result in an Obituary announcement published in the selected Blank Slate Media newspaper(s) and posted online at theisland360.com with the provided content.

I certify that I have received the permission of the photographer for all submitted photos to be used on theisland360.com and all of Blank Slate Media's newspapers. I also provide Blank Slate Media with the rights to publish the provided content on it's website and it's newspapers.