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Immediate Need Form

An Affordable Cremation Option

The following information allows us to get started on the necessary documentation and take the first steps toward meeting your family’s needs and providing personalized, professional assistance. Please complete as much of the form as possible and click “Send Now” to submit the information at your earliest convenience.  You may also call us at (304) 522-1514 for additional assistance.  One of our staff is available 24hrs 7 days a week.