216-631-4500    
Toll Free: 877-351-6860   

 


Become a Member

Becoming a member of All Ohio Cremation & Burial Society is free and easy.  There are no membership fees.  Simply complete the following required confidential information form and submit it to us by clicking the submit button below or click here (link to pre-planning checklist/membership form in new window) for a copy that can be printed and mailed or faxed to our office.

Once we receive your application, we will forward all the necessary documents to complete your membership including a laminated wallet card for you to keep with our contact information.  As a member you are entitled to reduced costs of our services and merchandise, a complimentary newsletter with current topics relating to the society and the opportunity to take care of your financial arrangements in advance.

If you prefer to register by phone please call us at 216-631-4500.

 

First Name:

Middle Name:

Last Name:

Address:

City:

State:

Zip:

E-mail Address

County:

How long at address?

Phone:

Date of Birth:

City of Birth:

State of Birth:

SSN:

Race:

Male Female

Occupation:

Employer:

Education in Years:

Marital Status:

Married Divorced Widowed Never Married

If Married or Widowed, Name of Spouse:

First Name:

Last/Maiden Name:

Deceased:

Yes No

First Name of Mother:

Maiden Name:

Deceased:

Yes No

First Name of Father:

Last Name:

Deceased:

Yes No

Next of Kin:

Phone:

Address:

VETERANS INFORMATION

Branch of Military
Rank:

Date of Entry:

Date of Discharge:

Place of Entry:

Place of Discharge:

 

PLEASE PROVIDE A COPY OF YOUR DISCHARGE PAPERS (DD-214)

 
 
 

Membership Office:
3929 Lorain Ave.
Cleveland, OH 44113

Toll Free: 877-351-6860
Local: 216-631-4500
Fax: 216-281-5058

E-mail: info@allohiocremation.com

Membership Office: 3929 Lorain Ave., Cleveland, OH 44113
Toll Free: 877-351-6860 | Local: 216-631-4500 | Fax: 216-281-5058
This site and its contents are © 2006 All Ohio Cremation. All Rights Reserved.