Obituary Form

Submit your webform

Obituary Submission

Free up to 15 column inches (word count of approximately 350). Any amount over the limit will be charged at the regular advertising rate of $4.20 per column inch. There is a $10 charge to include a photo.

Submitter's Name

Submitter's email

Name and Phone Number of Person Who May be Contacted in Case More Information is Needed:

Deceased Information

Name and Age of Deceased

Residence of Deceased

Place and Time of Death (Day, Date, Time)

Services (fill out all that apply)

Funeral Date/Time

Funeral Location

Memorial Date/Time

Memorial Service Location

Who Officiated?

Organist

Soloist

Interment is Where:

Vigil Services/Rosary Services:

Officiated by Whom?

Pallbearers:

About the Deceased:

Date of Birth

Place of birth

Father's Name

Father Living or Deceased?

Mother's Maiden Name:

Mother Living or Deceased?

Name of Spouse (include maiden name, if applicable)

Spouse Living or Deceased?

If Spouse is Deceased, Date of Death

When and Where Married?

Career Information: Give a BRIEF description of occupation, education, military or other special honors:

Other Survivors? Children's Names, Names of Spouses and Where They Live, if Applicable:

Brothers and Sisters (with spouses and where they live):

Number of Grandchildren

Number of Great-Grandchildren

Number of Great-Great-Grandchildren

Preceding in Death

Memorials May Be Made To:

Name of Funeral Home in Charge of Services:

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