Address: 105 Vanderhoof Ave. Unit 6, Toronto, ON, M4G 2H7, CA
Telephone: 416-487-9697

Contact Person / Next of Kin
Name*
FirstLast
Middle Name
Address*
Street AddressCityProvincePostal Code
Email
Phone*
Cell Phone
Work Phone
Relationship to Beneficiary*
Person Pre-Arrangements Are For:
Name*
FirstLast
Middle Name
Sex*
Date of Birth*
Date Format: DD slash MM slash YYYY
Birthplace: City, Province, Country*
Marital Status*
Name of Spouse (maiden name, if wife)
Usual Occupation*
Kind of Business/Industry*
SIN
Address*
Street AddressCityProvincePostal Code
Father
Father's Name*
FirstLast
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*
FirstLast
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.
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.

Contact Person / Next of Kin

Person Pre-Arrangements Are For: