How Can We Help You?
Open, print out and mail the .PDF form below to learn more about how we can help your company.
CONFIDENTIAL GET ACQUAINTED FORM
Confidential Get-Acquainted Form
Phone Number *
Funeral Home Name *
Funeral Home Phone
Funeral Home Fax
Zip Code *
Best Time to Reach *
Prior Positions and Dutities
Funeral Home Size (in sq. feet)
Number of Viewing Rooms
Number of Employees
Annual Gross Revenue (less cash advances)
Total Calls Per Year
Total Calls with Casket Service
Total Calls Direct Cremation
Total Other Calls
Lease Term Ends
Chapel Square Feet
Display Square Feet
Parking Facilities (# of Cars)
Number of Locations
How Long Since Funeral Home Remodeled?
Competition in the Immediate Area
Comments About the Competition
How Did You Hear About Covered Bridge?
Have You Ever Filed for Bankruptcy? *
Have You Ever Been Convicted of a Felony or Misdemeanor Other Than a Traffic Violation? *