request for a funeral or memorial
Booking Request Form

As a funeral celebrant, I can’t take away the pain of saying goodbye to a loved one, but I can help make the process of planning the service a little easier.

Please complete this form with the details of the service you are planning to say goodbye to your loved one and I will check to make sure that I am available at this time. If I have an exciting booking I will let you know the closest possible time I would be available to be your funeral celebrant.

If you have any questions you would like to ask me, please include these in the space allocated at the end of the form.

Step 1 of 2
Name of person organising the goodbyes?
Best contact phone number
Best contact email address
Name of the person the service is for.
What is the date and time of your funeral or memorial service?
Where are you holding the funeral or memorial and what is the address?
Name of the funeral director you have engaged?
Best contact phone number for your funeral director?
Best contact email address for your funeral director?
What is the name and address of the funeral home looking after your loved one?
What would you like to ask me?

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