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Honouring Your Loved One amavia™

Honouring Your Loved One
Thank you for purchasing: {{service}}
This form takes 10-15 minutes and helps us capture what made your loved one special.
Take your time — our deepest condolences for your loss.

Delivery timeline?

Delivery timeline?

Basic Information about the Deceased

Full legal name of deceased (include maiden name if applicable)

What name did they go by? (nickname or preferred name)

Date of birth

Date of death

Age of death

Place of birth (City, State/Province/Country)

Place of death (City, State/Province/Country)

City of residence at time of death

Family Information

Immediate family (parents, spouse/partner, children + cities) i.e. Wife Sarah (45 yrs), children: Michael (Toronto), Jennifer (Vancouver)

Extended family: grandchildren, siblings and other to mention

Brief life summary: Education, career military (if any), major accomplishments

Describe their personality in 5-10 words/short phrases

What did they love the most? (hobbies, passions, people, activities)

Share 2-4 memorable stories that capture who they were

Service details: date, time, location, visitation (if scheduled)

Memorial preferences (donations/organization/website, in lieu of flowers)

Overall tone preference

Overall tone preference
A
B
C
D

Any cultural / religious considerations we should honour?

Upload photo(s) - Optional but recommended

Anything else that we should know? Any words or phrases to avoid?

Who will deliver the Eulogy? (name & relationship)

Eulogy Length & Tone

Eulogy Length & Tone
A
B
C
D
E

Key Themes (pick 3-5)

Key Themes (pick 3-5)

3-5 Stories that MUST be included (critical; be specific)

Speaker's Comfort Level

Speaker's Comfort Level
A
B
C

Service Type & Officiant (memorial, mass, etc.; name/title)

Order of Service (readings, music, speakers, rituals). If unsure, write 'need suggestions'

Pallbearers (if any) + Special Cultural / Religious Elements

Card Recipients

Card Recipients

If specific, list names + what they did (e.g. John Smith - Pallbearer)

Letter is FROM (name / relationship) TO (name / relationship/age)

Written

Written
A
B

The letter should

The letter should

3 - 5 Key Messages / 2 - 3 favourite shared memories

Where will this be shared?

Where will this be shared?

Include cause of death? Any privacy requests / sensitivities?

Your full name & relationship with the deceased (N/A if you want privacy)

Email (preferred)

Phone (mornings)

Phone (afternoons / evenings)