Existing Members: Assign Responsible Party

Submit this form to let our WISH team know who will be in charge of making decisions for your final arrangements.

Please fill out form to assign your responsible party.

Name: *

First

Last

Email *

Member Number (On Membership Card): *

City: *

State: *

Responsible Party Information

Please let us know the details of the person responsible for your final arrangement decisions.

Responsible Party Name: *

Relationship To You: *

Funeral Home Information

Please let us know the details of your preferred funeral home & cemetery.

Funeral Home:

Funeral Home City:

Funeral Home State:

Cemetery:

Cemetery City:

Cemetery State:

Additional Details:

Message