The Final Draft Intake Form

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Feel Free To View The Checklist Before Completing The Form

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Name Of Applicant

First Name

Last Name

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Relationship to the deceased:

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Preferred method of communication: Phone or Email

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E-mail

example@example.com

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Phone Number

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Full name of the deceased (including nickname, if any):

First Name

Last Name

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Date of birth:

Date

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Date of death:

Date

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Place of residence (city, state):

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Place of passing (if different):

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Parents’ names:

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If parents are deceased, please add name here.

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If married spouse name and date of marriage

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Children’s names and ages:

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Siblings’ names (include if married or predeceased in death):

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Other significant family members (grandchildren, nieces, nephews, etc.):We can also just say a host of ....

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Proceeded In Death By? family members (grandchildren, nieces, nephews, etc.):Members who have passed before the deceased.

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Occupation and career achievements:

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Education (schools, degrees, certifications)

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Awards, honors, or special recognitions:

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Hobbies, passions, or favorite activities (e.g., basketball, BBQ, Monopoly):

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Volunteer work or community involvement:

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Favorite color:Please provide 2 colors for your obituary

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Favorite saying or catchphrase (e.g., “Yo, rent due!”)

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What they were most known for (e.g., coaching, mentoring, cooking):

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Anecdotes or stories that capture their personality:

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How they would like to be remembered:

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Funeral home name and address:

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Date and time of service:

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Location of service:

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Visitation details (if applicable):

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Location of Repast:

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Special requests (e.g., donations to a charity in lieu of flowers):

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Tone of obituary (formal, informal, celebratory, etc.):

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Tribute 1Please add a tribute or poem, the space below is for the photo of the person giving this tribute. All other photos will be sent to the email provided.

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For Tribute 1

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Tribute 2Please add a tribute or poem, the space below is for the photo of the person giving this tribute. All other photos will be sent to the email provided.

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For Tribute 2

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Tribute 3Please add a tribute or poem, the space below is for the photo of the person giving this tribute. All other photos will be sent to the email provided.

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For Tribute 3

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PoemPlease add a tribute or poem, the space below is for the photo of the person giving this tribute. All other photos will be sent to the email provided in your quote, photos will be sent all together through wetransfer.com. Max 50

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Additional Thoughts...

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Obituary TypeWould you like a 4, 8 or 12 page obituary? This will determine how many tributes and photos we can accept, please note printing is done by third party. We have an option for memorials cards in addition to obituarys.

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All photos for slideshows and obit must be sent via www.wetransfer.com to devinitycapital@gmail.com* This field is required.You can always return to this form should you forget. Please say yes if you understand.

YESNO

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Musical SelectionsFor slideshow: Note if services are in a church, please be mindful of music choices.

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Musical SelectionsFor slideshow: Note if services are in a church, please be mindful of music choices.

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Would you like the online version of the obituary? * This field is required.The obituary or memorial cards will have a QR code that leads to the online obituary and slideshow. This will be visible for a min of 3 months. The family will have the original, this is perfect for out of town participants.

YESNO

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Printing an obituary can be pricey. You can get a set number of obituaries for immediate family and then give the remaining guests a memorial card, our cards lead to the online version of the obituary, therefore reducing cost.* This field is required.Would you like more on memorial cards?

YESNO

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Our fee for design is not part of the printing cost and is based on how many pages you would like and basic or custom design. We will make you smile!Do you understand the separate fees?

YESNO

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The base fee includes up to 2 revisions. Additional revisions will incur a fee of $20 per revisionDo you agree to these terms?

YESNO

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Slideshows for your service are an additional fee and will be sent with your quote. Max 80 photos.Do you need a slideshow? If so please gather all photos at one time and send the to devinitycapital@gmail.com through the www.wetransfer.com website.

YESNO

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Casket PanelsCasket panels are located on the inside of the casket at the top. They help the visitors to handle grief; seeing the deceased in a more joyful manner. They are a wonderful keepsake after the service.

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Casket panels are the insert above the deceased on the casket. Making the service for much more heartwarming for you and guests. Do you need a casket couch?

YESNO

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Large PosterLarge posters can stand next to casket or at the entry way. They are a great way to showcase the family or memories of the deceased. They make for a great keepsake after the service. They come in various sizes.

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Would you like a large light-up keepsake that stands at the casket or door during service?We also have a non lit easel option.

YESNO

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Fake flowers can be a great keepsake and assure you get the colors you want. Would you like details?

YESNO

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Large PosterLarge posters can stand next to casket or at the entry way. They are a great way to showcase the family or memories of the deceased. They make for a great keepsake after the service. They come in various sizes.

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Would you like TShirts or Tribute reminders for your family and guests?We design TShirt or keychains and send to 3rd party vendor. Please allow enough time for shipping.

YESNO

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Do you need help finding a location for repast?

YESNO

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A $100 fee will apply if you would like to retain full copyright ownership of the obituary. Otherwise, the obituary will be considered a collaborative work, and I reserve the right to use it for viewing, training, website, or social media purposes. Do you consent to the obituary being used for training, website, or social media purposes?Do you agree to these terms?

YESNO

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Would you like to retain full copyright ownership for an additional $100 fee?This means I will not use for any purpose.

YESNO

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“By default, the obituary will be considered a collaborative work, and I may use it for training purposes, on my website, or on social media to showcase my services. If you would like to retain full copyright ownership of the obituary, a $100 fee will apply. NOTE: I will send the final draft to your local printer or print online and ship directly to you depending on how many days we have before your service. Printer fees are not in design price. This is time sensitive, so please be open and availablelble to chat with the teams should questions arise.

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