New event ad request

Please complete this form so that we can create the necessary pages. Please use proper capitalization information will be merged for efficiency.

Funeral home name*

Eg: Burquitlam Funeral Home
Funeral home address*

Eg: 625 North Rd.
Funeral home city*

Eg: Coquitlam
Phone number for registrations
Email address for registrations
Funeral home Facebook page link
Funeral home logo
Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB.
Event location*

Eg: Penticton Lakeside Resort
Event location address*
Street Address City Province Postal Code
Event date*
MM slash DD slash YYYY
Event time*

: Hours

Minutes

AM/PM
Advertising radius*

Eg. 20 KM
Rep submitting form
- Kevin
- Neil
- John