Name: Affordable Burials and Cremations
Address: 105 Vanderhoof Ave. Unit 6, Toronto, ON, M4G 2H7, CA

Contact Person / Next of Kin
Name*
First Last
Middle Name
Address*
Street Address City Province Postal Code
Email
Phone*
Cell Phone
Work Phone
Relationship to Deceased*
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Person Pre-Arrangements Are For:
Name*
First Last
Middle Name
Sex*
Date of Birth*
Birthplace: City, Province, Country*
Marital Status*
Name of Spouse (maiden name, if wife)
Usual Occupation*
Kind of Business/Industry*
SIN
Address*
Street Address City Province Postal Code
Father
Father's Name*
First Last

Legal forms require this information. If you do not have this information, 'Unknown' will need to be inserted.
Middle Name
Step-Father Name
Birthplace: City, Province, Country
Mother
Mother's Name*
First Last

Legal forms require this information. If you do not have this information, 'Unknown' will need to be inserted.
Middle Name
Maiden (last) Name*
Legal forms require this information. If you do not have this information, 'Unknown' will need to be inserted.
Step Mother Name
Birthplace: City, Province, Country
Cemetery Information
Cemetery Name
Location City/Location State of Cemetery
Please take this space to briefly outline any specific wishes you might have.
Name
This field is for validation purposes and should be left unchanged.

Contact Person / Next of Kin

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