About YouName* First Last Email* Phone*Relationship to DeceasedImmediate Family MemberRelativeFriend/ColleagueAre you a member of the Cooperative Funeral HomeYesNoDelivery & Arrangement TypesDelivery LocationFuneral HomeCemeteryOfficeHomeWhat type of arrangement are you looking forSide PieceArtificial ArrangementWhat type of arrangement are you looking forCasket SprayUrn ArrangementWhat type of arrangement are you looking forSide PieceFruit and Gourmet BasketDelivery Date Approximate Delivery Time : HH MM AM PM About the DeceasedThe below fields are not required. Fill in only what you can. We ask these questions so we can help you build a beautiful and meaningful arrangement to celebrate your loved one. We will help you with all these considerations at your consultation as well.Did the Deceased have a favourite colour?Do you know what the deceased dress/suit will be at the funeral?What colour is the casket?Were there any flowers that the deceased disliked?What style would they prefer?ModernTraditionalGarden-likeDid the deceased have any loved hobbies (such as fishing, gardening, etc.)?Thank-you for taking the time to fill out this form. We extend our deepest sympathies at this time. One of our consultants will touch base with you to book a time, or you can call us direct at 705.560.1697.