Georgia Cremation
Georgia Cremation
Duluth:
(678) 584-0914
(678) 584-0914
Fayetteville:
(770) 756-8702
(770) 756-8702
Columbus:
(706) 577-0055
(706) 577-0055
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Simple Cremation
$
1,250.00
Transportation of the body (within 50 miles of our facility)
Preparation of required documents and authorizations
“Worry-Free” Cremation in our secure crematory
Alternative container and temporary urn
Decedent Information
Name
*
First
Last
Sex
Male
Female
Date of Birth
MM slash DD slash YYYY
Place of Birth
Residence (of decedent)
Name of Facility
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Marital Status
Never Married
Married
Widowed
Divorced
Separated
Surviving Spouse (if wife, maiden name)
Race
White/Caucasian
Asian
Black or African American
Education
8th Grade
9th-2th grade, no diploma
High school graduate or GED4
Some college credit, but no degree
Associate's degree
Bachelor's degree
Master's degree
Doctorate or Professional degree
Veteran Information
Did you ever serve in the armed forces?
Yes
No
What Branch of Service?
Occupation
Most Recent Occupation
Place of Employment (last or longest)
Type of Business or Industry
Parents
Name of Father
Maiden Name of Mother
Next of Kin
surviving spouse or person in charge of arrangements
Relationship to Deceased
Name
*
First
Last
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Email
*
Select office you wish to contact:
*
Duluth
Columbus
Fayetteville
Δ
Simple Cremation quantity
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