Wish deposit form

Wish deposit form (online)

The last wishes deposit is not a funeral prearrangement. This document allows you to specify your wishes to your loved ones. It is preferable to express your wishes to your entourage, even if you insert your wishes in your will, it may be consulted long after your funeral.

Beneficiary informations

* Surname, given name

* Home address

* Home phone number

* Date of birth

* Place of registration of the birth

Spouse name

My wishes (check when adapted to your wishes)

I consider a viewing beforehand

In a casket In an urn

I consider a celebration of my life

At the church At the chapel

I want to be cremated

Yes No

I consider for my final resting to be

In a cemetery In a columbarium My ashes to be return to my family

I would like a reception after the ceremony

Yes No

Other services

Obituary (in a newspaper and website) Photo enlarging Keepsake jewellery Thank you cards Diaporama photos Floral arrangement Memorial candle Keepsake urn Personalized bookmarks and cards Memorial video Musician (harp, guitar) Doves or butterflies flight

Special requests

Information about the person to contact after the death

* Surname, given name

* Home address

* Home phone number

* Relationship to

I agree that after completing my form, a representative will contact me.

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