Print & Mail or Fax Registration
Register by Email Form Click Here
Each registration requires $25 payable
Mail to :5438 Flora Avenue
Holiday, FL 34690-6501
Press your tab key
to start entering information.
information is required to comply with State Vital Statistic Requirements
to the person whom the arrangement is for.
By my signature and or
mailing of this registration I acknowledge that the above information will
be relied on for the death certificate of the registered name above. I affirm
that I have proof read for accuracy of dates, numbers and spelling.
You may request printed copies
of this form to be sent by mail by calling 1-800-756-2311
& P" on your keyboard to print this form.
for payment will
be mailed once payment has been received.
cards will be issued upon completion.
Comments or write
your obituary here:
Updated for Winter of 2005 - 2006
American Heritage Cremation Society
5438 Flora Avenue Holiday, FL 34690-6501
Copyright 1997 - 2005 The American Veritas Group Inc., All