JSMC Obituary Announcement Request

JSMC Obituary Announcement Request

JSMC provides this service to its members upon the loss of a JSMC member or its immediate family member (defined as spouse, children, and parents).
- Name (Person who is submitting the request)
  
  First NameLast Name
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Email
  example@example.com
- Name (Person's full Name who passed away)
  
  First NameLast Name
- Age
  Age of person who passed away
- Was he/she a JSMC Member?
- Any Immediate Family Member of JSMC Member?
  If No to above Question - was he/she an immediate family member (defined as spouse, children and parents) of a current JSMC Member?
- Primary Residence City
  Primary residence city (In USA) of person who passed away
- Primary Residence State (Primary residence state (In USA) of person who passed away)
- Related JSMC Member's Name
  Name of JSMC Member who is related to person who passed away.
- Relationship to JSMC Member
  Relationship of JSMC member to person who passed away
- Date of Death
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- 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
- Is Funeral Private?
- Funeral Date & Start Time
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
  Hour MinutesAM/PM Option
- Funeral Duration
- Funeral Location
  
  Other
- Would You Like to Pickup Food on the day of Funeral from JSMC? For more than 30 People count, additional charge will apply
- Request for Food - Number of People
  For more than 30 people, additional charge apply
- Are you conducting Prayer?
- Prayer Date & Start Time
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
  Hour MinutesAM/PM Option
- Prayer Duration
- Prayer Location
  
  Other
- Contact Person's Name
- Contact Person's Phone Number
  Format: (000) 000-0000.
- Upload a Photo of the person who passed away (Optional)
  
  Cancelof
- Members Validation Failed
  
  In order to send JSMC Communication, person who died or any immediate family member of that person must be JSMC Member.
  
  If you have any questions, please contact JSMC Secretary at info@jsmcoffice.com.
  
  Thanks
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JSMC Obituary Announcement Request

Members Validation Failed