End of Life Planning Session

I am looking forward to working with you to take your next steps or to get your plans completed.  

Please fill in the form below to begin the process of completing your plans and documents with Roxanne. Two hours $350

• Your Name *
• Your e-mail *
• Your Phone Number *
• In preparation for our meeting please indicate: *
  I want to learn about my options and need help to complete all of my end of life plansI only need help getting my Will completedI only need help getting my Personal Directive (Advanced Care Directive) completedI want to know my options and make a plan for my Body DispositionI want to create a Self-Honouring Life Tribute (Celebration of Life Ceremony)I need help having discussions about my wishes with those I loveI want to help someone else complete their end of life plans
• If you selected 'for someone else', who is it and what is their relationship to you?
• Have you signed and paid for a “pre-need” contract with a Funeral Home? *
  CremationBurialNo
• Please indicate your preference for communication: *
  In personOn the phoneZoom (on-line on my computer)E-mail
• When is the best time to contact you? Please provide three options: *
• Time *010203040506070809101112HH000510152025303540455055MMAMPMAM/PM
• 2. Date
• Time 010203040506070809101112HH000510152025303540455055MMAMPMAM/PM
• 3. Date
• Time 010203040506070809101112HH000510152025303540455055MMAMPMAM/PM

 

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