Obituary Form

Name: Western Cremation Alliance
Address: 2519 E Mill Plain Blvd Unit #109, Vancouver, WA, 98661, US
Telephone: (844) 927-3628
Price range: $$$$

Please complete this form to submit obituary information for the creation of an online tribute page which can be easily shared with family and friends.

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Full Name of Deceased*
Please enter your loved one's full name.
Date of Birth*
Month
Day
Year
Date of Death*
Month
Day
Year
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Time

: Hours

Minutes

AM/PM
City and State of Residence*
City State or Country
Obituary Text*
Photo Upload
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Accepted file types: jpg, gif, png, Max. file size: 3 MB, Max. files: 1.
Your Name*
First Last
Your Phone Number*
Your Email Address*