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MORTUARY MESSENGER

This form helps us set up your account. Please fill it out as thoroughly as possible.

Once we have your account set up, we will follow up with any further questions and instructions on how to connect your social media accounts and how to add your clients into the automated follow up system.

You won't be billed until we have your account set up.

Contact Information

Enter your contact details below. We will designate you as the contact/representative for communication, account information, and billing.

First Name *

Last Name *

Phone *

Email *

Business Information

Enter information about your funeral home below. Information should be how you advertise yourself to the public.

Business Name as Advertised *

Street Address *

City

State

Country

Postal code

Advertised Phone Number *

Website

Are you a Dignity Memorial Provider? *

Yes

Do you sell pre-need arrangements? *

Yes

How many families do you serve per month on average?

I have read and agree to the terms & conditions.