Funeral Home - Funeral/Memorial Request

** IMPORTANT PLEASE READ **

THIS FORM IS FOR FUNERAL HOME USE ONLY

Before you request us please ensure you have the following:

  • Family authorization.  We must be invited by the family.
  • Family contact information including name and phone number.
  • Funeral director contact information including name and phone number.
  • Will the military (if applicable) be present

Once submitted, your request will be sent immediately to the leadership team.  We strive to answer all requests within a few hours, but no later than 24 hours from submission. 

If you do not hear back from us within 24 hours please contact us at help@northtxpgr.org.

 

Please note - All fields marked with a * are required.


Deceased Information

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Funeral Director Information

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Funeral Home Information

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Family Information

If you are not an immediate family member, please enter the name of the person we should contact.

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Service Information

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North Texas Patriot Guard Riders

The Patriot Guard Riders is a 100% volunteer, federally registered 501(c)(3) non-profit organization which ensures dignity and respect at memorial services honoring fallen active duty military, first responders and honorably discharged veterans.

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