CeremoniesOnline.co.nz
Eulogy Help
The Eulogy will be written based on the personal information you supply us.
The cost - $200.

We guarantee your service will be emailed to you within 24 hours of payment verification.
Please fill in the Important Personal Information below and click 'Submit' to proceed..
If you have any privacy concerns, please read our Privacy Policy
All Questions are Optional

Once this form is submitted we make personal contact with you via email.


Please supply this Important Information:

Name of the deceased:


Date of Birth:



Date of Death:


Now to the Important Information:

What relation is he/she to you? e.g. Father, brother, friend, neighbour?

What did he/she mean to you?


How did He/She feature in your life?

How long did you know Him/Her?


Where did they live in relation to you?

Do you know any employment information and achievements?

Recreational Interests and Travel:



Their Nature eg hardworking, kind, quiet, loved people, private?


Funny Stories


Their Good and Bad traits


Significant Memories of times spent together.


How will you remember that person.


Payment and Contact Details:
When payment is verified we write a draft ceremony, then closely work with you to make it perfect.
Your satisfaction is guaranteed.

Name:


Phone Number:


Fax Number:


Email Address:



Your Postal Address:


Residential Address:


The Cost is NZ $200.
How will you be Paying?


If Paying by Credit Card:
We will contact you directly by phone for your card details or fax them to: (09) 360 7179

If Paying by Bank Transfer:
(use our currency converter)
Transfer $200.00 to

ASB Bank
12 3039 0872168 003

--------------------------------
CeremoniesOnline LTD
Phone:
(09) 360 7176
027 657 3810

FAX:
(09) 360 7179

Postal Address:
Apt 1F,
10 Crummer Road,
Grey Lynn 1021


Once this form is 'submited' and payment is received, we will contact you via Email or Phone to confirm payment.
Thank You.