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 HomeFuneral home address* Eg: 625 North Rd.Funeral home city* Eg: CoquitlamPhone number for registrationsEmail address for registrations Funeral home Facebook page link Funeral home logo Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB. Event location* Eg: Penticton Lakeside ResortEvent location address* Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Event date* MM slash DD slash YYYY Event time* : Hours Minutes AM PM AM/PM Advertising radius* Eg. 20 KM Rep submitting form Kevin Neil John Δ