Registration Details

To ensure the integrity of tribute pages placed on our website, we will confirm the information you provide below with the funeral home before providing access to our website. Please note it may take may take 24 hours for us to get information verified and you will then receive an email with login details.

After submitting the information below you will be directed to our secure payment gateway to enter your credit card details, please wait while this payment process completes.

Your Details


     
First Name:*  
Surname:*  
Email:*  
Password:*  
Confirm 
Password:*
 
 

Deceased's Details


     
First Name:*  
Surname:*
Date of Death:*  
   
 
 

Funeral Director's Details


 
Please choose your funeral director from this list: 

If your funeral director is not listed,
please enter as many details as possible:
     
Funeral Home:  
e.g. Harbour City Funeral Home
Street Address:  
e.g. 56 Onepu Road
Suburb:  
e.g. Kilbirnie
City:  
e.g. Wellington
Phone:  
e.g. (04) 555 1234
Email Address:  
 

Terms & Conditions


 
Please read the following terms and conditions.
I agree with above terms and conditions.
 
If you do not agree to the above terms and conditions we are unable to create an account for you.
 
Register