WJAY RADIO Obituary Column
SUBMISSION FORM
FUNERAL HOME INFO
***FOR FUNERAL HOME USE ONLY*** Submit on or before Mondays at 12pm, Tuesdays at 12pm, and Thursdays at 12pm. WJAY RADIO Obituary Column airs Mondays, Wednesdays, and Fridays.
Name of Funeral Home
*
Submitted By (Funeral Home Representative)
*
Phone
*
Email
example@example.com
ANNOUNCEMENT DETAILS
Residents of Marion and Dillon Counties ONLY. Please provide details below. A separate form is required for each person.
Full Name of the Deceased
*
Date of Death
*
-
Month
-
Day
Year
Date
City and State of Residence of the Deceased
*
Street Address Line 2
City
State / Province
Postal / Zip Code
Location of Death (i.e. name of hospital, at home)
Date of Funeral Service
-
Month
-
Day
Year
Date
Time of Funeral Service
Hour Minutes
AM
PM
AM/PM Option
Location of Funeral Service
Address Line 1
Address Line 2
City
State / Province
Zip Code
Interment or Burial Location
Address Line 1
Address Line 2
City
State / Province
Zip Code
Funeral Directed By
Name of Funeral Home
Street Address Line 2
City
State / Province
Postal / Zip Code
Other Comments
Submit
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