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Permission to Send Photo Form


NOTE: Fields marked with an asterisk ( * ) are required. Any information you submit will be held in the strictest confidence - we do not release any information to outside parties under any circumstances.

* First and Last Name of the Deceased:
* My First and Last Name:
* Phone Number:
* Email Address:

* I authorize Affordable Cremation Services of New York to send me
a digital photo of the deceased for identification purposes.

Affordable Cremation Services of New York
130 Carleton Avenue
Central Islip, New York 11722
(516) 546-4626
info@affordablecremationservicesnewyork.com

 
130 Carleton Ave. • Central Islip, NY 11722 • P: 516-546-4626 • F: 631-588-9126 • info@affordablecremationservicesnewyork.com
© Copyright, 2008 Affordable Cremation Services of New York and FuneralNet®
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