Personalized Service Preferences Funeral Home * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Primary Contact * First Name Last Name Phone * (###) ### #### Secondary Contact First Name Last Name Phone (###) ### #### Billing Contact * First Name Last Name Email * Phone Service Options * Funeral Home will take calls and relay first call information. Calls will be forwarded to Dignified Transport Removal Preferences * Embalming Request Notify Funeral Director upon removal. Contact at specified time Removal Preferences Continued * Cremation Request Notify Funeral Director upon removal. Contact at specified time Notification * Based on the previous responses. How would you like our staff to notify you following each removal? Phone Text E-mail Completed Transfer Procedures * Following the first call, what entrance to your funeral home should our staff use? Identification Tags * Describe where tags are stored at your facility and your preference on where you prefer they are applied on the deceased. Include what information you want written on the tags as well. Storage (Embalming Request) * Where should bodies needing to be embalmed be staged Storage (Cremation Request) * Where should bodies needing to be embalmed be staged Billing Preferences Email * Billing Address If different from physical address Address 1 Address 2 City State/Province Zip/Postal Code Country Invoice Preferences * Please select how you would like to receive your invoices. I prefer a mailed invoice. I prefer an electronic invoice Thank you for your response! A member of our staff will contact you soon.
