Please fill out the form with the best available information you have. Then choose the "Submit Information" button to submit your form. 

Your form will be emailed to Sturgeon Memorial Funeral Chapel. Depending on which option you selected, we will keep your information on file, contact you to set up an appointment, or send you information about pre-arrangement. 

 

Full Name:   
Address:
City:    Province:    Postal Code:
Phone:      Email:
Date of Birth:      Place of Birth:
Father's Name:      Living    Deceased:
Mother's Name:      Living    Deceased:
Maiden Name of Mother:
Occupation:    Status:
Marital Status:      Name of Spouse:
Maiden Name of Spouse:
Place of Funeral Service:
Clergyman:
I Prefer:
Cemetery:    Phone Number:
Section:    Lot:
Block:    Grave Number(s):
I have made a last will and testament: Yes     No
Location:
 

Special Instructions
Clothing: My Own     Other
Jewelry:
Glasses:
 
Other:

Please select one of the options below

Send information about pre-arrangement

Contact me to set an appointment

Please keep my information on file