Submit Your Pet Memorial | Corfu Veterinary Clinic

Pet Memorial Form

In honor of your beloved pet and animal friends, we welcome you to create a lasting tribute on our website’s Pet Memorial page. Complete the form below to submit your memorial or short story. Your information will be kept private and will not be shared with any third parties.

"*" indicates required fields

Name:*

First* Last*

Phone:*

Email Address:*

Pet Name:*

Date of Passing:*

Birthdate:*

Pet's Photo*

Max. file size: 10 MB.

Maximum file size allowed: 10MB

Memorial or Short Story:

Please do not submit any Protected Health Information (PHI).

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Phone

This field is for validation purposes and should be left unchanged.