Weyauwega 920-867-3399
Manawa 920-596-2500
The information listed below is confidential and, when submitted, will only be shared with the funeral home.
Name of Your Loved One
Other Demographic Information of Your Loved One
Informant (REQUIRED FOR DEATH CERTIFICATE):
What Was Your Loved One's Final Wishes?
Fax: 920-867-3398
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