Once this form is submitted we make personal contact with you via email.
Name of the deceased: Date of Birth: Date of Death: Now to the Important Information: What do you have in mind for the ceremony? Eg. Simple, spiritual, religious..
Where are you holding the ceremony? eg. church, funeral home, family home.. In your view how many people will be attending the funeral?
Will there be speakers at the Funeral? No Yes If Yes .. .. Name the persons and what they will be speaking on? e.g. childhood, employment colleague, family life.
Family Member information: eg. spouse, children, grandchildren..
Summary of the person's history. eg. Where they were born, where they lived..
Employment information and achievements.. Recreational Interests and Travel: Their Nature eg hardworking, kind, quiet, loved people, private? Their Good and Bad traits In your view what would they like to be remembered by? 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? Credit Card Bank Transfer 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.