LifeHonor Information Form

This web page is for Funeral Home Directors to use for data entry for memorial service internet-video project submission and payment of appropriate charges.  Please complete the form below and note the fields with " * " by the fields.  Those fields indicate required input in order to complete this process.

When completed, click on submit button at the bottom of this form.  This will submit the information and create a production reservation order and scheduling for your submission.

If you have any questions call LifeHonor at 605-277-8700

Funeral Home Information

Deceased Information

Gender *

Memorial Service (MS)Information


Additional Production Information Needed

Choice of Theme for Video/Website Production *

Do you wish to have the optional "Comfort Page" included with your video produciton? *
If you answered yes to the above question, please choose which comfort page you wish to use.

Thank you for choosing a LifeHonor Theme!

Final Notes and Submissions

I am in agreement with LifeHonor Terms of Service and Privacy Policy. *
Please check this item to activate your order through your pre-paid status.  Then, press the "continue" button at the bottom of the page. You will be taken to an order confirmation page - showing $00.00 for this order, because you have pre-paid - and PayPal is NOT being charged for this order.
Thank you for the opportunity to serve you.

Contact Information

PO Box 796, Ankeny, IA  50021


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