This is the form to submit an obituary. The first 70 words are free. Every printed inch (1 col wide by 1 inch deep) is $27.30. If including a photo, the cost for photo is $63. You may fill out this form, or if you would prefer to write your own obituary you may email us directly at obits@sunjournal.com. We will call you back with an estimate and require a credit card for payment before running the obituary. If you have any questions, please call us at 784-5411.

Contact information

Your name: *

Your e-mail address: *

Your phone number: *

Your home address: *

Name of funeral home or crematory: *

This is in order to verify the death, unless you have a copy of the death certificate. If this is the case, please call us at 784-5411.

About the deceased

Name of deceased: *

The deceased's full given name.

Age of deceased: *

Town: *

Town where deceased last lived.

Date of death: *

Location of death: *

The town (and facility, if applicable) where the deceased died.

The deceased's life

Date of birth:

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Town of birth:

Parents' names:

Clubs and organizations:

Activities he or she enjoyed:

Work history:

Predeceased by:

Survived by:

Service information:

Calling hours; times, dates and locations of services; Donation instructions

Photograph:

Additional comment:

Include here any additional comments about the deceased you would like to include.

Submitted by preaves on Mon, 12/06/2010 - 18:31