Death is certain.

Would you like to be remembered? Or are you comforted by the impermanence of your existence?

Stand against the tide of time,
or cede to it.

Submit the form below to have your identity encased in wax and plaster. The memento will be preserved for the future, lost for all time, or given into your hands, as you see fit.


Please download and print this document. The completed form should be sent to the trustee of memory or to

200 Willoughby Ave
Unit 59655
Brooklyn NY, 11205-7536