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Complete the form below to reserve your area code(s).

Select the number(s) you wish to use*
- 1-800-CREMATE
- 1-800-FUNERAL
- 1-800-FUNERALES
Desired Area Code(s)*

Separate multiple area codes with commas
Phone number to redirect the 800 number to*
Your Name*
First Last
Your Company Name*
Email Address*
Company Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone*
What type of business are you?*
- Funeral Home
- Crematory
- Cemetery
- Other
Mark all that apply.
Other type of business:*
Do you have multiple locations (how many):
Is your business:*
- Independently Owned
- Corporately Owned
State Establishment License #(s)*
What insurance company are you professionally insured with?*
Are you ready to become a Member of “The Cremation Network”?
- Yes
Request an Agreement to be emailed for review and for signature.
- Yes
How did you learn about us?
Name*
Which one*
Other*

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