Ideally, we would like you to complete this form prior to — or immediately after — buying a Package from us. Thank you.

PERSONAL DETAILS OF THE DECEASED




Gender
FemaleMale






PERSONAL DETAILS OF THE DECEASED


of Maori Decent?
YesNo


Marriage or Civil Union Celebrant?
YesNo

Justice of the Peace?
YesNo

Did they hold an Honour or Award? (do not include military decorations)
YesNo

WHICH PACKAGE/s ARE YOU INTERESTED IN?
Cremation Packages:
Souly CremationSouly Cremation EcoSouly Cremation TraditionalSouly Funeral Cremation Service
Burial Packages:
Souly Burial GravesideSouly Burial TraditionalSouly Funeral Burial Service
MOTHER'S DETAILS





FATHER'S DETAILS




CHILDREN
Leave blank if not applicable.

MARRIAGE DETAILS
Please enter most recent first.
If deceased was never in a legal relationship, please go to page 6.


Gender
FemaleMaleN/A




PREVIOUS SPOUSE/PARTNER

Gender
FemaleMaleN/A




PREVIOUS SPOUSE/PARTNER

Gender
FemaleMaleN/A



DETAILS OF PERSON COMPLETING FORM











I have read and agree to Souly Funerals' Terms of Trade *