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The Funeral Home accepts Cheques ONLY for memorial donations. Visa, Mastercard and Cash are NOT accepted at the Funeral Home.

Please fill out the form below if you wish to place a memorial donation. Fields marked with an asterisk (*) must be filled out.

In Memory Of* :

Selected Charity*(Your cheque MUST be made payable to the selected charity)

Donor Name:*

Email Address:*

Donors Phone Number*

Donors Mailing Address*

Town*

Province*

Postal Code*

I will be mailing a cheque to the Funeral Home within 5 days*:

Yes

I will be submitting the donation directly to the charity*:

Yes

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