Brown Alumni Magazine

Send an Obituary

Relatives and friends of the deceased can complete this form to submit alumni obituary information to the BAM.

Name and class year of the deceased:
Mailing Address:
Date of death:
Cause of death:
City and state of residence:
Name of funeral home:
Your name and relationship to the deceased:
Your Mailing Address:
Include mailing address in the obituary?	Yes
Deceased alum's most recent job and employer, including dates in that position:
Year of retirement (if applicable):
Prior employment, beginning with most recent:
Military Service:
Memberships:
Awards or Honors:
Hobbies:
Survivors (Please note any Brown alumni):
Notes: