Authorize original obituaries for this funeral home

1Identify yourself

Funeral home : Brickyard Road - Chipley

First name

Last name

Email address

Role in funeral home

Specify

I consent to receive emails from Echovita Inc or its partners, which include news, notifications and promotions.

2Give your consent

I, the undersigned, confirm that I hold the necessary rights as author and/or that I have obtained the necessary authorizations from Brickyard Road - Chipley, the family of the deceased and/or the original author under Canadian, American, or Quebec laws, in order to allow and authorize Echovita inc. (as well as any company affiliated with the latter) to publish or republish all obituaries as well as the photograph accompanying each obituary on the website www.echovita.com