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
Upon successful submission of this form, a confirmation email will be sent immediately to: 
 1] the Funeral Director
 2) the Family
 3) our leadership team.  
If you do NOT receive the confirmation email request, the North Texas Patriot Guard Riders did NOT receive the email request either.
In this case, please resubmit the request.

If you do not hear back from us within 48 hours please contact us at help@northtxpgr.org.

 

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


Deceased Information

*
*
*
*

Funeral Director Information

*
*
*
*
:

Funeral Home Information

*
*



*

Family Information

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

*
*
*

Service Information

*
*



*
*
*
*