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Please note that this form does not inform us of the passing of your loved one.  Please call our funeral home at 386-752-1954, 24 hours a day, 7 days a week, to speak with one of our directors to inform us of your loved ones passing.  

You are welcome to send us information using the form below.  We understand that you may not have access to all of the details below (or would prefer to provide in person).  You are welcome to fill out as much or as little as you prefer.  We will cover the remainder when we meet with you.

At Need Form

If no, continue to the next section

Please list memorials or charitable donations that you'd like listed in the obituary
Optionally use the area below to provide additional information or instructions to us.

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