Submit an Obituary LOCALNEWSDIGITAL.COM OBITUARY FORMDate SubmittedFuneral HomeContact Person:PhoneEmail AddressBilling Account #I. DECEASED INFORMATIONFull Name(as to appear)Maiden Name/Other NamesAge at PassingDate of DeathPlace of Death-City:State/ProvinceDate of BirthCurrent Residence: CityState/ProvinceIII. BIOGRAPHICAL DETAILS(Please provide as much detail as possible. LND reserves the right to edit for length and clarity. Attach seperate sheet if more space is needed.)Obituary TextParents(Full Names, incl. mother's maiden):Spouse(s) (Full Names & Date of Marriage)Children(Full Name, in order of birth, with spouse if applicable)Grandchildren/Great Grandchildren (Names or number)Siblings(Full Names, with spouse if applicable)Preceded in Death By(Names & Relationship)Education/Career/Military ServiceMemberships/Clubs/Organizations:Hobbies/Interests/Personal Qualities: Achievements/Awards:Special Thanks/AcknowledgmentsIII. SERVICE INFORMATIONVisitation/Calling Hours:Time(s):AMPMStreet AddressCityState/ProvinceZIP / Postal CodeFuneral/Memorial ServiceTime(s):AMPMStreet AddressCityState/ProvinceZIP / Postal CodeOfficiantGraveside Service/Interment:Time(s):AMPMStreet AddressCityState/ProvinceZIP / Postal CodeReception/GatheringTime(s):AMPMStreet AddressCityState/ProvinceZIP / Postal CodeService Type:PublicPrivateInvitation OnlyIV. MEMORIAL CONTRIBUTIONS(in lieu of flowers)Donations May Be Made To:Street AddressCityState/ProvinceZIP / Postal CodeV. PUBLICATION, ORDER DETAILS & PHOTOS/VIDEOSRequested Publication Date on LOCALNEWSDIGITAL.COM:Upload PhotoChoose FileNo file chosenDelete uploaded filePlease upload a high resolution JPG/PNG labeled with deceased name Upload VideoChoose FileNo file chosenDelete uploaded filePlease upload a high resolution in MP4 formatSend Copy of Online Obituary for ReviewYesNo(Draft of obituary as it will appear on LND will be sent to Funeral Home contact email)VI. AUTHORIZATION I certify that the information provided is accurate and I am authorized to submit this obituary for publication. I understand that LOCALNEWSDIGITAL.COM reserves the right to edit for grammar, spelling , length, and content in accordance with its policies.Signature of Funeral DirectorDate:Submit