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 *