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concorddallas Sign Up Information

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Membership Emails

Below is a sample of the emails you can expect to receive when signed up to concorddallas.

Thank you for submitting the signup form.

Full Name of the Deceased: Jack Lewis
Deceased''s Date of Birth: Jon
Deceased Date of Transition: Jon
Was the deceased a member of Concord?: Member
Has a funeral home been selected?: No
If yes, please enter the name of the funeral home: Jon
Contact''s Relationship to Deceased: Jon
Contact''s Full Name: Mila Young
Phone: Jon
Email: @
Address: 242 Langham Road
City: London
State: Jon
Zip Code: 90275
* Deceased's Date of Birth
Name (full)
Home address
select one
select one
Data Name Data Type Options
* Deceased's Date of Birth   Text Box
Name (full)   Text Box
Email   Text Box
Home address   Text Box
City   Text Box
State   Text Box
Zipcode   Text Box
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Comment by: admin
Comment on: 01/09/2020