1

Application Page 1- this should be auto populated from the questions

Question page
Landing Page

This must auto fill

Njsdhvijaeiahvajnvalshv;WLHV;slvjcblw;C
y/n and must have
MVLJBVLjbvLJBIJLHIUL;Hlkjbvdijbvkdjzbvzdkjnvbd;zv initials under box

Price goes
here

Single must be checked.

No question Required

If they Choose APA.

This box must be
checked

If they Choose Credit

Card this box must be
checked

These questions
should auto
populate the boxes

Cremation Traditional burial

The name Sensible will
go here

They must initial

here

Must auto Populate

1
Goods and Services Traditional Service Package Followed by Cremation 2

All Goods and services should be pre- populated as written

Requires Initials

Should Auto
Populate

Requires Electronic
signature
2
Memorial OR Graveside Service Package followed by Cremation $1,995 3

*Basic Services of Funeral Director and Staff

*Transportation of loved one into our care
*Includes the 30 min. Id viewing in our Chapel
*Gathering service in our Chapel or Church
*Funeral Staff and Director for the Family/Friends Gathering Service
*Cremation Service fee *Refrigeration until cremation occurs
*Standard plastic travel urn and alternative container
Transfer to an Urn purchased outside of our firm add $50
Additional Permit fee of $32 and Arizona registration fee of $4
Death Certificates in the quantity of 5 or more will add $12

All fields must be like the above sample

3
Simple Cremation Package $1,595 4
*Basic Services of Funeral Director and Staff
*Transportation of loved one into our care
*Preparation for 30 min. Id Viewing occurring in our Chapel
*Funeral Staff and Director for the Id viewing
*Refrigeration until cremation occurs *Cremation Service fee
*Standard plastic travel urn and alternative container
Transfer to an Urn purchased outside of our firm add $50
Additional Permit fee of $32 and Arizona registration fee of $4
Death Certificates in the quantity of 5 or more will add $12

All fields must be like sample

4
Direct Cremation Package $995 5
*Basic Services of funeral director and staff
*Transportation of loved one into our care
*Refrigeration until cremation occurs *Cremation Service fee
*Standard plastic travel urn and alternative container
Transfer to an Urn purchased outside of our firm add $50
Additional Permit fee of $32 and Arizona registration fee of $4
Death Certificates in the quantity of 5 or more will add $12

All Fields same as sample

5
 6

Automatic Payment Authorization (APA)

These should be questions to auto populate from questions

Auto fill

Auto fill

Electronic
Signature
required

6
 7

Credit Card

The people will have to fill in this form

Requires
Electronic
signature 7