Step 1 of 2

Essential Package Includes:
- Administration & professional fees
- Coordination of legal documention
- Certificates of death $ 25 extra/ copy (2 included)
- Facilities for care of deceased
- Transfer of the deceased from the location of death to our care, 24 hours a day. Additional mileage charges may apply beyond 300 KM of Fredericton, NB.
- Cremation fee
- Return of cremated remains (within 5 days)
- Free home delivery of your loved one's urn and all documentation anywhere in New Brunswick
Additional services that can be purchased:
- Cash disbursement administration
  $175
- Online obituary
  $250
- Return of cremated remains on a specific date
  $200
- Holding cremated remains past 7 days
  $200
- After care session with specialist
  $300
- ID viewing (within 24 hours of death)
  $525
- Video recordings (for families)
  $150
- Visitation with virtual technology
  $495
- Embalming & ID viewing
  $675
- Loading customer supplied urn (if required)
  $100
- Graveside equipment (speakers, mic, chairs, etc)
  $200
- Scanning family photos includes (50) but there is an additional charge for more.
  $225
- Special musical selections
  $50
- Urn engravings
  $100
- Bookmarks (50)
  $100
Please indicate your choice of Cremation Container*

Contact Person
Name*
First Middle Last
Address*
Street Address City Province / State Postal Code Country
Email
Phone*
Cell Phone
Work Phone
Relationship to Deceased*
Deceased Person Information
Name*
First Middle Last
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Sex*
Date of Birth*
MM slash DD slash YYYY
Birthplace: City, State, Country*
Marital Status*
Name of Spouse (maiden name, if wife)*
Military Service*
Usual Occupation*
Kind of Business/Industry*
Education (highest completed) Elementary & Primary (0-12)*
Higher Education*
The Location of Death*
Where is the deceased currently?*
Parents
Legal forms require this information. If you do not have this information, 'Unknown' will need to be inserted.
Father's Name*
First Middle Last
Legal forms require this information. If you do not have this information, 'Unknown' will need to be inserted.
Father's Place of Birth*
City State / Province / Region ZIP / Postal Code Country
Step-Father Name
Mother's Name*
First Middle Last Maiden
Legal forms require this information. If you do not have this information, 'Unknown' will need to be inserted.
Mother's Place of Birth*
City State / Province / Region ZIP / Postal Code Country
Step Mother Name
Family Information
In each section below, please list first and last names, from oldest to youngest, including spouse names and noting "deceased if/where relevant.
Children
Grandchildren
Great Grandchildren
Siblings
Membership in Organizations, Clubs or Societies
Organizations, Clubs, Societies: Name & Contact Information
Use separate line for each entry.
How would you prefer that we contact you once we receive your information?*
- By phone
- By email
Email
This field is for validation purposes and should be left unchanged.

Step 1 of 2

Contact Person

Deceased Person Information

Parents

Family Information

Membership in Organizations, Clubs or Societies