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Obituary Form Submission

The following information can be published in the Molalla Pioneer at No-Charge.

IMPORTANT INFORMATION Please note: Each submittal must have a contact name and telephone number where we can verify the information before publication. If we are unable to verify the information we will be unable to publish the information.

Name of Deceased:

Date of Death:

Cause/Place of Death:

Age:

Date of Birth:

Birthplace:

Parent's Names:

Date of Marriage/Spouse's Name:

Survivors: (Immediate Family Only: ie: Wife; parents; brothers; sisters; children. List Grandchildren, etc only by number, ie: 13 grandchildren.)

Brief summary of schooling, and early life:
Brief summary of career, military service and other important events in the deceased person's life:
What organizations, churches, civic groups did the deceased belong to?

Date, Time & Place of Service:

Officiating Minister:

Place of Burial:

Funeral Home in Charge:

Phone:

Memorial Contributions:

Additional information or a picture can be added.
We reserve the right to edit the submitted information to meet standard editorial style.

Please Make Payment Arrangements by Calling: 503-829-2301 or email: khartrampf@molallapioneer.com

Contact Name:

Email Address:

Contact Phone:

Work Phone:

Please provide a name and number of someone that we can contact to verify this information and/or questions. PLEASE NOTE: THIS IS A REQUIRED FIELD AND MUST BE FILLED IN FOR PUBLICATION.

This form can also be printed and mailed to the Molalla Pioneer, P.O. Box 168, Molalla, Oregon 97038. It is the responsibility of the contributor to ensure that all information is correct - spellings, dates, etc.

         

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