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
For security reasons, this form will 'expire' 20 minutes after it appears on your screen. Please enter your information and click the Submit button before that time.
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 close the form you are currently using. request a new form from our website and re-submit.
FUNERAL DIRECTOR - 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.
EFFECTIVE APRIL 10, 2023 - IN ORDER TO ALLOW AMPLE TIME TO PROCESS YOUR REQUEST FOR OUR PRESENCE, PLEASE ALLOW A MINIMUM OF 48 HOURS PRIOR TO YOUR DESIRED SCHEDULE DATE AND TIME. REQUEST FOR OUR PRESENCE ON A MONDAY MUST BE RECEIVED BY US NOT LATER THAN FRIDAY AT 12 NOON. REQUESTS AFTER THAT TIME CANNOT BE HONORED.
Deceased Information
*
*
*** The file MUST be less than 2MB
*
*** The file MUST be less than 2MB
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
*
*
*
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