Absent Friends Booking Confirmation
The following form will give us all of the information we need to confirm your booking. Please give as much detail as you can where necessary. Don't hesitate to get in touch if you have any questions at all.
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Your name *
Your email address *
Your Contact Number *
Funeral Date *
MM
/
DD
/
YYYY
Address and EIRCODE for the funeral service *
What time is the service scheduled to begin? *
Time
:
Name of deceased *
Date of birth
MM
/
DD
/
YYYY
Date of passing
MM
/
DD
/
YYYY
How many people will be present?
Please tell us who  our main point of contact on the day will be. *
Please provide us with a mobile phone number for that person. *
Please give us a brief itinerary of the service if possible, i.e. how many people will be speaking etc.
Please tell us how you would like the deceased's name to be engraved on your personalised USB drive? E.g. Patrick or Paddy O'Connor *
Captionless Image
Please click here if you would like to order additional USB drives. We will provide a quote based on the number required.
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How many additional USB drives do you require?
Please select your preferred payment method *
Submit
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