Funeral Enquiry Form

If you’ve just suffered a bereavement and you don’t feel up to speaking to someone yet – don’t worry. If you fill out the form below with some information about yourself, and some information about the person that has passed we can advise what the cost of the funeral would be and get in touch with you to discuss the necessary arrangements. We’re here to help.

Your details

Your name

Your address

Your phone number

Your email address

Details of the deceased




Date & time of death


Where is the deceased currently lying?

Name of doctor/GP

Next of kin details



Funeral details

Would you like to arrange a

Is there a church/chapel you would like to use?

If there is any additional information you would like us to know, feel free to write it in the space below.

What would you like us to do next?