Obituary Announcement Request

Obituary Announcement Request
JSGA will provide this service to its members upon the death of JSGA member or its immediate family member (defined as spouse, children and parents)
Your Name *

First Name Last Name
Phone Number *
Please enter a valid phone number.
Email *
example@example.com
Information about the person who passed away
Deceased Name *

First Name Last Name
Age *
Was he/she a JSGA member?

Related JSGA Member's Name *Name of JSGA Member who is related to person who passed away.
Related JSGA Member's Name
*Name of JSGA Member who is related to person who passed away
Relationship to JSGA Member
Place of Death
Date OF DEATH *

Month Day Year
Date
Survived By Example: Son: XXX (son) & YYYY (his wife) Shah, Daughter: YYYY (Daughter) & XXXX (her husband) Shah, Brother: XXXXX (brother) & YYYYY (his wife) Shah, and Grand Children: xxxxXX, yyyyYYYour answer *
Funeral Date

Month Day Year
Date
Time

Hour Minutes

AM/PM Option
Funeral Duration
Funeral Location (Address)
Prayer Date

Month Day Year
Date
Time

Hour Minutes

AM/PM Option
Prayer Location
Upload photo of deceased

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Obituary Announcement Request

JSGA will provide this service to its members upon the death of JSGA member or its immediate family member (defined as spouse, children and parents)

Information about the person who passed away

Related JSGA Member's Name *Name of JSGA Member who is related to person who passed away.