amavia™ Provider Directory

By submitting this form, you consent to being contacted by amavia regarding potential future participation. Submitting this form does not guarantee placement or immediate involvement.

Country (Canada or United States)

Location / Service Radius (list city/town)

Service Type (Faith or Cultural Preference, Funeral & Memorial, Ceremony & Faith Based, Support & Wellness, Floral & Keepsake Services, Venues & Coordination, Professional Services, Other)

Faith or Cultural Preference

Christian

Indigenous / First Nations / Métis / Inuit

Non-denominational / Humanistic

Funeral & Memorial

Funeral Home

Burial Service / Cemetery

Ceremony & Faith-Based Services

Officiant / Celebrant

Religious Leader / Chaplain

Spiritual / Multi-Faith Guidance

Cultural or Traditional Ceremony

Support & Wellness

Grief Counsellor / Therapist

Support Group Facilitator

Meditation / Mindfulness Support

Floral & Keepsake Services

Florist / Floral Designer

Memorial Keepsakes / Urns / Jewelry

Tribute Artwork / Portraits

Venues & Coordination

Event Venue / Reception Hall

Catering / Hospitality

Musician / Choir / Audio Services

Photography / Videography

Professional Services

Legal / Estate Planning

Financial / Insurance Support

Printing / Design / Obituary Services

Other (please specify - list items that are not listed in our intake form)

Description (describe your services)

Packages / Prices (list any promotions/bulk offers that you may be offering)

Add-Ons (If you offer any additional services or packages families can choose from, such as floral upgrades, ceremony personalization, or memory keepsakes, please list them here.)

Upload Logo / Photos (max 6 files)

Accepts image files

Size limit: 10 MB

Status (for amavia™ personnel to fill out)

Would you like families to contact you directly through amavia™?

Yes, I welcome direct contact.

No, please have amavia™ reach out on my behalf.

Unsure / need more information.

Consent

I understand that Amavia may offer a 90-day complimentary listing period when provider participation opens. After this period, continued participation may be available at $20/month, with the option to opt out at any time by contacting [email protected]