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Rememra Early Access Pilot — Funeral Home Application

Intro / Description:
We’re enrolling 10 funeral homes in our first Early Access Pilot. Complete this short form to apply for access. Our team will review your application and reach out within 24 hours.

Please enter the full name of your funeral home.

Who should we contact about your application?

What is the best email address for communication?

Please provide a phone number in case we need to reach you quickly.

Where is your funeral home located?

Approximately how many funeral services do you handle per month?

If applicable, what payment processor do you currently use?

What is your biggest challenge with funeral payments or insurance payouts today?

Would you like to schedule a demo call after submitting this form?

Thank you for applying! We’ll review your submission and reach out within 24 hours.