Sample Obituary Guideline Form Page 2

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Important note:
Families making arrangements with a funeral home must consult the funeral home for
obituary placement. Funeral homes are linked electronically with the newspapers. Obituaries dropped off to the
newspapers may be faxed to the funeral homes to be typed before being published. Newspapers make exceptions
for families providing obituaries on disk or via e-mail. These obituaries must be completely typed and ready for
publication, not just answers to the guideline questions.
PLEASE TYPE OR PRINT
1.
Full name of deceased:
2.
Age:
3.
Date of Death:_______/_______/_______
4.
Place of Death:
5.
City and State of Death:
6.
Cause of death, if desired:
7.
Time and Date of Service:
8.
Place of Service (including city/state):
9.
Time / Place of viewing:
10.
Officiating at service:
11.
Additional services:
12.
Pallbearers:
13.
Date of Birth:_______/______/______
14.
Place of Birth:
15.
Education
16.
Military Service:
17.
Resident of Alaska beginning when:
18.
City of residence in Alaska:
19.
Places and dates of other places lived in Alaska:

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