Step 1 of 2 50% Gatherings & Celebrations PackageGatherings & Celebrations: Our Counsellors are pleased to assist you in organizing your gathering/celebration at the venue of your choice. Package Includes: Administration & professional fees Coordination of legal documentation Certificates of death $ 25 extra/ copy (15 Included) Online obituary Cash disbursement administration Facilities for care of deceased Virtual gatherings Cemetery equipment (speakers, mic, chairs. Etc.) Transfer of the deceased from the location of death to our care, 24 hours a day. Additional mileage charges may apply beyond 50 KM of Fredericton, NB Cremation fee Return of cremated remains on a specific date Holding cremated remains past 7 days Return of cremated remains (within 3 days) Free home delivery of your loved one's urn and all documents anywhere in New Brunswick Additional services that can be purchased: Video recordings (for families) $150 Visitation with virtual technology $495 Embalming & ID viewing $675 Loading customer supplied urn (if required) $100 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* The Glenbar Cremation Container Hampton Cremation Container The Woodmont Cremation Container Rental Cremation Container The New Leaf Cremation Container Contact PersonWhat type of service do you require?* My loved one has died My loved one is expected to die soon I am planning for myself and interested in pre-arranging Name* First Middle Last Address* Street Address City Province / State Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email Phone*Cell PhoneWork PhoneRelationship to Deceased* Deceased Person InformationName* First Middle Last Sex*MaleFemaleDate of Birth* MM slash DD slash YYYY Birthplace: City, State, Country* Marital Status*MarriedNever MarriedWidowedDivorcedName of Spouse (maiden name, if wife) Military Service*YesNoUsual Occupation* Kind of Business/Industry* Education (highest completed) Elementary & Primary (0-12)*8th grade or less9-12th no diplomaHigh school graduate or GED completedHigher Education*NoneSome College CreditAssociates DegreeBachelors DegreeMasters DegreeDoctorateThe Location of Death The Location of Death (or N/A if not applicable)* Where is the deceased currently? (or N/A if not applicable)* ParentsLegal 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.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.Step Mother Name Family InformationIn each section below, please list first and last names, from oldest to youngest, including spouse names and noting "deceased if/where relevant.ChildrenGrandchildrenGreat GrandchildrenSiblingsMembership in Organizations, Clubs or SocietiesOrganizations, Clubs, Societies: Name & Contact InformationUse separate line for each entry. How would you prefer that we contact you once we receive your information?* By phone By email PhoneThis field is for validation purposes and should be left unchanged.
