Your
Name
Name of Business
Address
City
State
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
N/A
ZIP
Email
Telephone
Do
you have a website?
Web Site:
Yes
No
If so, what is your current URL :
Do you routinely play
photo slideshows
during a funeral, or visitations?
Yes
No
If
you were provided with free services such as an online
obituary , website ,
or an online
memorial Website , would you use these services even if they
had a link to our memorial catalog (containing products and service
such as commissioned statues ,
plant
a tree , custom DVD sideshows ,
custom headstones ,
urns ,
etc.)?
Yes
No
If
no, Please Explain what we could change, that would make you
use our services:
Which
of our product/services would be ok to show to your website visitors?
Check all that apply
Custom Designed Monuments
Custom Designed Urns
Custom Designed Statues
Memorial Sideshows
for funeral & Visitation
Memorial
Website
Remain
Services (ashes in space, every major ocean, Plant a tree,
etc.)
Memorial Printings
What
free services would benefit your website the most?
Obituary
Posting
Memorial
Creation Other
If
we gave your business a special rate on our products/services,
which products/service would interest you the most?
Check all that apply
Custom Designed Monuments
Custom Designed Urns
Custom Designed Statues
Memorial Sideshows
for funeral & Visitation
Memorial
Websites
Remain
Services (ashes in space, every major ocean, Plant a tree,
etc.)
Memorial Printings
Do you accept
payments for products on your web site?
Yes
No
NA
If
so, who do you accept payments with?
Pay
Pal
Merchant
Account
Other
If
you could earn a commission on our products/services,
which product/services would be ok to show to your website visitors?
Check all that apply
Custom Designed Monuments
Custom Designed Urns
Custom Designed Statues
Memorial Sideshows
for funeral & Visitation
Memorial
Website
Remain
Services (ashes in space, every major ocean, Plant a tree,
etc.)
Memorial Printings
End
of Survey
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enter the code below.