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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?
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Delivery timeline?
Basic Information about the Deceased
Full legal name of deceased (include maiden name if applicable)
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What name did they go by? (nickname or preferred name)
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Date of birth
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Date of death
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Age of death
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Place of birth (City, State/Province/Country)
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Place of death (City, State/Province/Country)
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City of residence at time of death
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Family Information
Immediate family (parents, spouse/partner, children + cities) i.e. Wife Sarah (45 yrs), children: Michael (Toronto), Jennifer (Vancouver)
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Extended family: grandchildren, siblings and other to mention
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Brief life summary: Education, career military (if any), major accomplishments
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Describe their personality in 5-10 words/short phrases
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What did they love the most? (hobbies, passions, people, activities)
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Share 2-4 memorable stories that capture who they were
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Service details: date, time, location, visitation (if scheduled)
Memorial preferences (donations/organization/website, in lieu of flowers)
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Overall tone preference
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Overall tone preference
A
Traditional and formal
B
Warm and conversational
C
Celebratory and uplifting
D
Balanced
Any cultural / religious considerations we should honour?
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Upload photo(s) - Optional but recommended
Click to choose a file or drag here
Accepts .jpeg, .png, .gif, .jpg, .webp, .mp4, .pdf, .doc, .pptx files
Size limit: 10 MB
Anything else that we should know? Any words or phrases to avoid?
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Who will deliver the Eulogy? (name & relationship)
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Eulogy Length & Tone
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Eulogy Length & Tone
A
5-7 min, solemn
B
5-7 min, balanced
C
10-15 min, solemn
D
10-15 min, balanced
E
10-15 min, celebratory with humour
Key Themes (pick 3-5)
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Key Themes (pick 3-5)
Family Devotion
Faith/Spirtuality
Career Achievements
Resilience
Sense of Humour
Service to others
Love of Community
Hobbies/Passions
3-5 Stories that MUST be included (critical; be specific)
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Speaker's Comfort Level
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Speaker's Comfort Level
A
Very comfortable
B
Somewhat comfortable
C
Nervous - requires coaching notes
Service Type & Officiant (memorial, mass, etc.; name/title)
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Order of Service (readings, music, speakers, rituals). If unsure, write 'need suggestions'
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Pallbearers (if any) + Special Cultural / Religious Elements
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Card Recipients
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Card Recipients
All Attendees
Pallbearers
Donors
Caregivers / Medical Staff
Clergy / Officiant
Specific People (list next)
If specific, list names + what they did (e.g. John Smith - Pallbearer)
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Letter is FROM (name / relationship) TO (name / relationship/age)
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Written
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Written
A
Before death (by the person)
B
After death (on their behalf)
The letter should
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The letter should
Share life lessons / values
Express love / pride
Apologies / forgiveness
Hopes for the future
Family stories
Specific guidance
Final goodbye
3 - 5 Key Messages / 2 - 3 favourite shared memories
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Where will this be shared?
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Where will this be shared?
Family Notification
Workplace
Church / Faith Org
Social Media
Community Org
Include cause of death? Any privacy requests / sensitivities?
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Your full name & relationship with the deceased (N/A if you want privacy)
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Email (preferred)
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Phone (mornings)
Phone (afternoons / evenings)
Submit