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Deceased Information

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  3. Select One:
  4. First Name:
  5. Last Name:
  6. EAA # (Optional):
  7. Date of Death:
  8. Date of Birth:
  10. Address:
  11. Address 2:
  12. City:
  13. State/Province:
  14. Zip/postal Code:
  15. Obituary:
  16. Upload Photo:
  17.   Either an obituary or a photo is required.

Contact Information

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  1. First Name:
  2. Last Name:
  3. EAA # (Optional):
  4. Address:
  5. Address 2:
  6. City:
  7. State/Province:
  8. Zip/postal Code:
  9. Phone Number:
  10. Email:  
  11.   Either phone number or email address is required.
  12.  
  13. Please Note
    This form is for posting an obituary for an EAA member on our website only. If you would like to make a change in the status of membership or have the member listed in the “Gone West” column in our magazine, please call our Member Services department at 800-564-6322. Completion of this form WILL NOT update the member's offical record with EAA.
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