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When do you require our services?(Required)

Death Occurred

Soon

Planning

Which city is closest to your loved one?(Required)

Hidden

Origin – Dallas

Hidden

Origin – Houston

Hidden

Origin – San Antonio

Hidden

Origin – Tyler

Hidden

Origin – Waco

What is the address where your loved one is currently located?(Required)

Hidden

Destination

Hidden

Distance – Dallas

Hidden

Distance – Houston

Hidden

Distance – San Antonio

Hidden

Distance – Tyler

Hidden

Distance – Waco

What is the approximate weight of your loved one?(Required)

We will verify weight at the crematory

Does your loved one have a pacemaker or other battery-operated implant?(Required)

Yes

No

How would you like your loved one's remains handled after the cremation?(Required)

We will pick them up (no charge)

Please ship them (Additional $125)

Additional Death Certificates(Required)

We provide one death certificate. Additional, certified copies are $4 each.

Email Copy of Quote(Required)

ADDITIONAL COUNTY-RELATED FEES: Several Texas counties require permits and/or fees that funeral homes collect on their behalf. Your Arrangement Counselor will advise you if they apply to your situation.

PLEASE NOTE: Completing this form only provides a price quote. The actual arrangement process begins when you speak with an Arrangement Counselor or submit the online arrangement form.

Loved One's Last Name(Required)

Description	Information	Quantity
Which city is closest to your loved one?
		1
What is the address where your loved one is currently located?
Address
Additional Mileage
mi from City Center ($3/mi)		1
What is the approximate weight of your loved one?
Weight (lbs)		1
Does your loved one have a pacemaker or other battery-operated implant?
		1
How would you like your loved one’s remains handled after the cremation?
		1
Additional Death Certificates
Number of certificates		1
NOTE	ADDITIONAL COUNTY-RELATED FEES: Several Texas counties require permits and/or fees that funeral homes collect on their behalf. Your Arrangement Counselor will advise you if they apply to your situation. PLEASE NOTE: Completing this form only provides a price quote. The actual arrangement process begins when you speak with an Arrangement Counselor or submit the online arrangement form.
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