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Phone: 403-243-8200

Text: 403-256-9575

Family Input V1.1

Your Information

Primary Contact First Name:

Primary Contact Last Name:

Relationship:

Email:

Address 1:

City

Zip/Postal code

Cell Phone

Preferred Method Of Contact:

Phone

Did The Deceased Have a Will

Same as Primary Contact

Executor / Executrix First Name:

Executor / Executrix Last Name:

Relationship:

Email:

Address 1:

City

Country

State/Province

Zip/Postal code

Phone:

Work Phone

Cell Phone

Executor / Executrix Notes:

Deceased Information

Title:

Deceased First Name:

Deceased Middle Name:

Deceased Last Name:

Name Known By:

Gender:

AB Health Number:

AB Driver's License Number:

Social Insurance Number:

Weight (lbs):

Religious Affiliation

Other Religious Affiliation:

Information on Passing

Place of Passing:

Place of Passing Notes:

Date of Death:

Time Of Death:

Deceased Information Notes:

Family Information

Marital Status

Spouse First Name:

Spouse Last Name:

Spouse Maiden Name:

Email:

Address 1:

City

Zip/Postal code

Phone:

Work Phone

Common Law First Name:

Common Law Last Name:

Common Law Maiden Name:

Email:

Address 1:

City

Zip/Postal code

Phone:

Work Phone

Cell Phone

Spouse First Name:

Spouse Middle Name:

Spouse Last Name:

Spouse Maiden Name:

Additional Contacts (Family or Friends)

Contact 1 First Name:

Contact 1 Last Name:

Relationship:

Email:

Address 1:

City

Country

State/Province

Zip/Postal code

Phone:

Work Phone

Cell Phone

Contact 1 Notes:

Contact 2

Contact 2 First Name:

Contact 2 Last Name:

Relationship:

Email:

Address 1:

City

Country

State/Province

Zip/Postal code

Phone:

Work Phone

Cell Phone

Contact 2 Notes:

Contact 3

Contact 3 First Name:

Contact 3 Last Name:

Relationship:

Email:

Address 1:

City

Country

State/Province

Zip/Postal code

Phone:

Work Phone

Cell Phone

Contact 3 Notes:

Deceased Parents Information

Father's Name:

Father's City of Birth:

Father's Country of Birth:

Mother's Name:

Mother's Maiden Name:

Mother's City of Birth:

Mother's Country of Birth:

Online and / Or Newspaper Obituary Information

For those wishing to continue to share additional information regarding obituary wishes please continue to expand the below sectionson our online arrangement planner or scroll to the bottom and select FINISH to save the information previously entered and send this to our licensed Funeral Director who will be in touch shortly.

Death Notification

Newspaper Obituary

Newspaper name

Additional Newspapers:

Newspaper name (Other):

McInnis & Holloway will put this into the newspapers format and email you a proof prior to placing online or in print.

Upload Obituary:

Preferred Date/s To Run Obituary:

Time With Deceased / Visitation / Identification

Visitation Date:

Visitation Time:

Visitation Location:

Casket:

Funeral Wishes (Burial or Cremation)

For those wishing to continue to share additional information regarding funeral wishes please continue to expand the below sectionson our online arrangement planner or scroll to the bottom and select FINISH to save the information previously entered and send this to our licensed Funeral Director who will be in touch shortly.

Service Type

Service Description (Cremation)

Additional Notes Regarding Cremation:

Service Description (Burial)

Burial Wishes Notes:

Family to advise by::

Prayer Service

Prayers Date and Time:

Description:

Start:

End:

Location Name:

Address:

City:

Country:

State/Province:

Zip/Postal code:

Phone:

Private Event?:

GPS Coordinates (Optional)

Latitude:

Longitude:

Prayers Date:

Prayers Time:

Prayers Location:

Description:

Start:

End:

Location Name:

Address:

City:

Country:

State/Province:

Zip/Postal code:

Phone:

Private Event?:

GPS Coordinates (Optional)

Latitude:

Longitude:

Presider:

Prayers Notes:

>> Funeral Service <<

Service Date:

Service Time:

Service Location:

Presider First Name:

Presider Last Name:

Email:

Phone:

Cell Phone

Presider's Church:

Presider Notes:

Is Casket Present at the Service?:

Casket Open Prior to Funeral Service?

Honourary Pallbearer?

Honourary Pallbearer Names:

Active Pallbearers?

Active Pallbearer Names:

Tribute(s)

Tribute Name:

Reader(s)?

Reader(s):

Prayer Of The Faithful

Prayer Of The Faithful?

Prayer of the Faithful Name(s):

Memorabilia for Display Funeral

Memorabilia for display:

Memorabilia Special Display Notes:

Number Expected to attend Service:

Music for Service?

Music for Service

Music Options

Background prior:

Song during:

Processional Song:

Recessional Song:

Final Burial Site / Cemetery

graveside-funeral-service-casket-burial-calgary

Cemetery:

Photo Memories Required

For those wishing to continue to share additional information regarding photo memories (video Tribute) wishes please continue to expand the below sectionson our online arrangement planner or scroll to the bottom and select FINISH to save the information previously entered and send this to our licensed Funeral Director who will be in touch shortly.

Photo Memories Information

Click Here To Send Photos and Videos

Photo Memories Notes:

Stationery Requested

For those wishing to continue to share additional information regarding stationary wishes please continue to expand the below sectionson our online arrangement planner or scroll to the bottom and select FINISH to save the information previously entered and send this to our licensed Funeral Director who will be in touch shortly.

Please share any notes regarding your families stationary wishes and on of our talanted graphic designers will be in contact soon to disucuss this in more detail.

Stationary:

Casket Selection

Vault Required? Casket

Burial Vaults

Cremation Container Selection

Cremation Container Selection Infant

Urn Selection

Second Urn?

Urn Catalog

Third Urn?

Urn Catalog

Urn Vault Requested

Urn Vault Selection

Click for more information about Wilbert Urn Vaults

Eternity's Touch Jewelry

Eternity's Touch

Eternity's Touch Notes:

Remembrance Jewelry

Remembrance Jewelry Notes:

Flowers

Additional Notes:

Please wait

My Selections

Total Cost: $0.00

Family Input V1.1

Share Your Wishes Online

Did The Deceased Have a Will

Deceased Information

Religious Affiliation

Information on Passing

Family Information

Marital Status

Additional Contacts (Family or Friends)

Contact 2

Contact 3

Deceased Parents Information

Online and / Or Newspaper Obituary Information

Death Notification

Newspaper Obituary

Newspaper name

Time With Deceased / Visitation / Identification

Funeral Wishes (Burial or Cremation)

Service Type

Service Description (Cremation)

Service Description (Burial)

Prayer Service

>> Funeral Service <<

Casket Open Prior to Funeral Service?

Honourary Pallbearer?

Active Pallbearers?

Tribute(s)

Reader(s)?

Prayer Of The Faithful

Memorabilia for Display Funeral

Music for Service?

Music for Service

Final Burial Site / Cemetery

Photo Memories Required

Photo Memories Information