Obituary Form | Nassau County Record, Callahan, Florida

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Obituary Submission

Photos may be included and should be sent in a jpg format at a minimum of 225 dpi resolution. Black and white or color photos can be used, providing the picture is of good quality and not too small. Obituaries are $60 without a photo and $65 if including a photo. A death notice, which includes only the deceased's name, date of death and funeral arrangements, is $25. Please call 879-2727 to submit payment. You may either submit this form or email the already written obituary to editor@nassaucountyrecord.com.

Submitter's Name

Your Email

Name of Person Who May be Contacted in Case More Information is Needed:

Phone Number of Contact

Deceased Information

Name and Age of Deceased

Residence of Deceased

Place and Time of Death (Day, Date)

Services (fill out all that apply)

Funeral Date/Time

Funeral Location

Memorial Date/Time

Memorial Service Location

Who Officiated?

Organist

Soloist

Interment is Where:

Vigil Services/Rosary Services:

Officiated by Whom?

Pallbearers:

About the Deceased:

Date of Birth

Place of birth

Father's Name

Father Living or Deceased?

Mother's Name

Mother's Maiden Name:

Mother Living or Deceased?

Name of Spouse (include maiden name, if applicable)

Spouse Living or Deceased?

If Spouse is Deceased, Date of Death

When and Where Married?

Career Information: Give a BRIEF description of occupation, education, military or other special honors:

Other Survivors? Children's Names, Names of Spouses and Where They Live, if Applicable:

Brothers and Sisters (with spouses and where they live):

Number of Grandchildren

Number of Great-Grandchildren

Number of Great-Great-Grandchildren

Preceding in Death

Your image

One file only.
20 MB limit.
Allowed types: gif jpg png.

Memorials May Be Made To:

Name of Funeral Home in Charge of Services:

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