Obituary Order Form

Instructions: Enter the information for each obituary request. The fee for this service is $6.00 for each obituary request and you may enter up to 20 requests on this form. When you are finished click on the Print Form button below to print the form and mail it with your check or money order payable to:

Newport News Public Library
Main Street Library
Virginiana Room
110 Main St.
Newport News, VA 23601

After you have printed the form, click on the Submit button. Clicking on Submit notifies us of your entry; however, your obituary requests will not be sent to you until payment has been received and processed.

Obituary Request*

Your Name*

First NameLast Name

Your Email*

example@example.com

Please Select How You Want to Receive Your Obituary Copy(s).

Please Note: Regardless of how you want your copy(s) sent to you, you must print the form and mail in your payment.

Please send:*

Hard Copy via U.S. Postal ServiceEmailed as a PDF Attachment

OBITUARY REQUEST FORM