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Online Tribute Submission Form

  • Remember and honour your loved ones...
  • All tributes in this section have been added at the request of a victim/survivor or a member of their family. We do need to have the permission of the injured victim/survivor or the next of kin of the victim/survivor before posting the tribute. This can be emailed or scanned and sent to If you have any questions on your submission, please contact Gloria Appleby 1-800-665-6233, ext. 222 for assistance. Please allow a few working days for your submission to be approved and posted.

    If you prefer to print a form and submit by mail, please click here.

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  • Your Information

  • Tribute Information

  • MADD Canada reserves the right to edit statements to conform to spacing constraints. By submitting information for the inclusion in the Online Tribute, you acknowledge that the information may be reproduced, altered or rebroadcast by parties who visit the site. You agree that MADD Canada is not responsible for any errors, alteration or damage to information provided by the victims' family, or for the use of any such information or material by anyone accessing or linking to the tribute website. MADD Canada maintains the right to exclude any photograph and/or tribute which does not comply with current MADD Canada policies.


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