the form of death

If this form doesn't suit you, please compose your own, there are no style guidelines. Mail it to dave@davesbeer.com
Please attach a url for an image that represents you or attach one to an email to append to the obit.
Thanks

title:

M.
Mr.
Mrs.
Mme.
Mssr.
Mlle.
Lord
Earl
Duke
King
Queen
Prince
none


name


nickname


age


from



taken by the angels
went to Satan
joined those who preceded me
went to Purgatory
went straight to hell
went to hell with the sinners
other


other


How'd you die?

died after his/her skull was crushed base-jumping when his/her parachute didn't open
died when his/her car flipped 20 times sliding off an interstate during a blizzard
was beat to death during a fight at his/her son's hockey game
was impaled by rebar on the construction site
was impaled by a pack of wiener dogs
other
gave in to a battle with cancer



other


preceded in death by ...


survived by

my faithful companion, Zeb (my dog)
my pet ardvark
my french teacher


occupation


hobbies


best known for


regrets


anything else