{"id":1460,"date":"2026-04-03T12:03:22","date_gmt":"2026-04-03T16:03:22","guid":{"rendered":"https:\/\/simpliciacremation.com\/?page_id=1460"},"modified":"2026-04-21T11:42:37","modified_gmt":"2026-04-21T15:42:37","slug":"arrange-a-cremation","status":"publish","type":"page","link":"https:\/\/simpliciacremation.com\/en\/arrange-a-cremation\/","title":{"rendered":"Arrange a Cremation"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1460\" class=\"elementor elementor-1460 elementor-1459\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c5fdde1 e-flex e-con-boxed e-con e-parent\" data-id=\"c5fdde1\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7e70063 elementor-widget elementor-widget-heading\" data-id=\"7e70063\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Arrange a Cremation<\/h1>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-5543a32 e-flex e-con-boxed e-con e-parent\" data-id=\"5543a32\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a76b227 elementor-widget elementor-widget-shortcode\" data-id=\"a76b227\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><script>\nvar 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#112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><div id='gf_13' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_13'  action='\/en\/wp-json\/wp\/v2\/pages\/1460#gf_13' data-formid='13' novalidate><div id='gf_page_steps_13' class='gf_page_steps'><div id='gf_step_13_1' class='gf_step gf_step_active gf_step_first'><span class='gf_step_number'>1<\/span><span class='gf_step_label'>Basic Information<\/span><\/div><div id='gf_step_13_2' class='gf_step gf_step_next gf_step_pending'><span class='gf_step_number'>2<\/span><span class='gf_step_label'>Arrangement Selection<\/span><\/div><div id='gf_step_13_3' class='gf_step gf_step_pending'><span class='gf_step_number'>3<\/span><span class='gf_step_label'>Deceased Information<\/span><\/div><div id='gf_step_13_4' class='gf_step gf_step_last gf_step_pending'><span class='gf_step_number'>4<\/span><span class='gf_step_label'>Confirm Your Selection<\/span><\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_13_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_13' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_13_63\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>To begin, we will ask you a few important questions to help us offer the package best suited to your needs.<\/h2>\n<p>Our online service is available in the Greater Montreal area, including Laval, the South \nShore, and the North Shore. For any questions or additional information, please contact \nour office at <a href=\"tel:+4385088881\" style=\"color:#7d806b;\">(438) 508-8881<\/a>, where a member of our team will be pleased to assist you. Please note that our online services are only available once a death has occurred.<\/p><\/div><fieldset id=\"field_13_69\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Where is the deceased person currently located?<\/legend>    \n                    <div class='ginput_complex ginput_container has_zip ginput_container_address gform-grid-row' id='input_13_69' >\n                        <input type='hidden' class='gform_hidden' name='input_69.4' id='input_13_69_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_13_69_5_container' >\n                                    <input type='text' name='input_69.5' id='input_13_69_5' value=''   placeholder='Postal code' aria-required='false'    \/>\n                                    <label for='input_13_69_5' id='input_13_69_5_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>ZIP \/ Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_69.6' id='input_13_69_6' value='Canada' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_13_8\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gf-postal-warning gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div id=\"gf_postal_warning\" style=\"display:none;\">\n  <p>Please contact us directly at <a href=\"tel:+14385088881\">438-508-8881<\/a>, as this request falls outside our service area. Our team will be happy to inform you of the available options.<\/p>\n<\/div><\/div><fieldset id=\"field_13_68\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >This location is:<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_13_68'>\n\t\t\t<div class='gchoice gchoice_13_68_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='Hospital'  id='choice_13_68_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_68_0' id='label_13_68_0' class='gform-field-label gform-field-label--type-inline'>Hospital<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_13_68_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='Private residence'  id='choice_13_68_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_68_1' id='label_13_68_1' class='gform-field-label gform-field-label--type-inline'>Private residence<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_13_68_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='CHSLD (long-term care facility)'  id='choice_13_68_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_68_2' id='label_13_68_2' class='gform-field-label gform-field-label--type-inline'>CHSLD (long-term care facility)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_13_68_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='Other'  id='choice_13_68_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_68_3' id='label_13_68_3' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_9\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Weight of the deceased at the time of death<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_13_9'>\n\t\t\t<div class='gchoice gchoice_13_9_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='250 lbs or less'  id='choice_13_9_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_9_0' id='label_13_9_0' class='gform-field-label gform-field-label--type-inline'>250 lbs or less<\/label>\n\t\t\t<\/div><html><body><div class=\"gchoice gchoice_13_9_1 has-tooltip\">\n\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_9\" type=\"radio\" value=\"Over 250 lbs\" id=\"choice_13_9_1\" onchange=\"gformToggleRadioOther( this )\" aria-describedby=\"gftt-13_9_2-wrap\">\n\t\t\t\t\t<label for=\"choice_13_9_1\" id=\"label_13_9_1\" class=\"gform-field-label gform-field-label--type-inline\"><gftt-label class=\"gftt-label\">Over 250 lbs<\/gftt-label><i class=\"gftt-icon gform-theme__no-reset--el\" id=\"gftt-13_9_2\" data-placement=\"nw-alt\" tabindex=\"0\"><\/i><div id=\"gftt-13_9_2-wrap\" class=\"gftt-content\" aria-hidden=\"false\" role=\"tooltip\"><div aria-hidden=\"false\" id=\"gftt-13_9_2-content\" data-tid=\"gftt-13_9_2\">The standard cremation container we offer can accommodate up to 250 lbs. If the deceased exceeds this weight, additional fees will apply for a suitable container.<\/div><\/div><\/label>\n\t\t\t<\/div><\/body><\/html><\/div><\/div><\/fieldset><fieldset id=\"field_13_10\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Pacemaker removal<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_13_10'><html><body><div class=\"gchoice gchoice_13_10_0 has-tooltip\">\n\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_10\" type=\"radio\" value=\"Yes\" id=\"choice_13_10_0\" onchange=\"gformToggleRadioOther( this )\" aria-describedby=\"gftt-13_10_1-wrap\">\n\t\t\t\t\t<label for=\"choice_13_10_0\" id=\"label_13_10_0\" class=\"gform-field-label gform-field-label--type-inline\"><gftt-label class=\"gftt-label\">Yes<\/gftt-label><i class=\"gftt-icon gform-theme__no-reset--el\" id=\"gftt-13_10_1\" data-placement=\"nw-alt\" tabindex=\"0\"><\/i><div id=\"gftt-13_10_1-wrap\" class=\"gftt-content\" aria-hidden=\"false\" role=\"tooltip\"><div aria-hidden=\"false\" id=\"gftt-13_10_1-content\" data-tid=\"gftt-13_10_1\">A licensed thanatopractor (embalmer) must remove any pacemaker or implanted mechanical device used to maintain vital functions.<\/div><\/div><\/label>\n\t\t\t<\/div><\/body><\/html>\n\t\t\t<div class='gchoice gchoice_13_10_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='No'  id='choice_13_10_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_10_1' id='label_13_10_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_13_54' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next Step'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_13_2' class='gform_page' data-js='page-field-id-54' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_13_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_13_60\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Choose the service that suits you<\/h2>\n<p>At this stage, please select the service that best meets your needs from our three options. The price associated with each service will be displayed to help you compare the options. Each option is designed to meet different needs and levels of ceremony. Take your time to choose the one that suits you best. Our team remains available to assist you with your decision.<\/p><\/div><fieldset id=\"field_13_5\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Service selection<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_13_5'>\n\t\t\t<div class='gchoice gchoice_13_5_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Direct Cremation &lt;span&gt;Starting from $1,850&lt;\/span&gt;'  id='choice_13_5_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_5_0' id='label_13_5_0' class='gform-field-label gform-field-label--type-inline'>Direct Cremation <span>Starting from $1,850<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_13_5_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Crematorium Gathering &lt;span&gt;Starting from $2,836&lt;\/span&gt;'  id='choice_13_5_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_5_1' id='label_13_5_1' class='gform-field-label gform-field-label--type-inline'>Crematorium Gathering <span>Starting from $2,836<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_13_5_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Intimate Farewell &lt;span&gt;Starting from $3,389&lt;\/span&gt;'  id='choice_13_5_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_5_2' id='label_13_5_2' class='gform-field-label gform-field-label--type-inline'>Intimate Farewell <span>Starting from $3,389<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_67\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Would you like to obtain a copy of an act of death from le Directeur de l\u2019\u00e9tat civil (Quebec)?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_13_67'>\n\t\t\t<div class='gchoice gchoice_13_67_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='Yes'  id='choice_13_67_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_13_67\"   \/>\n\t\t\t\t\t<label for='choice_13_67_0' id='label_13_67_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_13_67_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='No'  id='choice_13_67_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_67_1' id='label_13_67_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_13_67'><span class=\"gchoice-description\">A fee of $46.75 applies for each copy requested.<\/span><\/div><\/fieldset><div id=\"field_13_51\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class=\"gf-services-inclus\">\n<h6>Direct cremation<\/h6>\n  <p class=\"gf-services-title\">Included Services<\/p>\n  <ul class=\"gf-services-list\">\n    <li>Administrative fees and service coordination<\/li>\n    <li>Care and transportation of the deceased<\/li>\n    <li>Full management of administrative procedures\n      <ul class=\"gf-services-sublist\">\n        <li>Declaration of death to the Directeur de l\u2019\u00e9tat civil (Quebec)<\/li>\n        <li>Simplicia Cremation death certificates<\/li>\n        <li>Submission to the Quebec Pension Plan (QPP)<\/li>\n      <\/ul>\n    <\/li>\n    <li>Private cremation (maximum weight of 249 lbs)<\/li>\n    <li>Cremation container and temporary urn<\/li>\n    <li>Delivery of ashes\n      <ul class=\"gf-services-sublist\">\n        <li>At home (locally)<\/li>\n        <li>Shipping via Canada Post \u2013 priority service (signature and ID required)<\/li>\n      <\/ul>\n    <\/li>\n    <li>Online publication of an obituary notice <\/li>\n  <\/ul>\n<\/div><\/div><div id=\"field_13_52\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class=\"gf-services-inclus\">\n<h6>Crematorium Gathering<\/h6>\n  <p class=\"gf-services-title\">Included Services<\/p>\n  <ul class=\"gf-services-list\">\n    <li>Administrative fees and service coordination<\/li>\n    <li>Care and transportation of the deceased<\/li>\n    <li>Full management of administrative procedures\n      <ul class=\"gf-services-sublist\">\n        <li>Declaration of death to the Directeur de l\u2019\u00e9tat civil (Quebec)<\/li>\n        <li>Simplicia Cremation death certificates<\/li>\n        <li>Submission to the Quebec Pension Plan (QPP)<\/li>\n      <\/ul>\n    <\/li>\n    <li>Private cremation (maximum weight of 249 lbs)<\/li>\n    <li>Cremation container and temporary urn<\/li>\n    <li>Delivery of ashes\n      <ul class=\"gf-services-sublist\">\n        <li>At home (locally)<\/li>\n        <li>Shipping via Canada Post \u2013 priority service (signature and ID required)<\/li>\n      <\/ul>\n    <\/li>\n    <li>Online publication of an obituary notice <\/li>\n  <\/ul>\n<p class=\"gf-services-title\" style=\"margin-top: 20px;\">Crematorium Visitation<\/p>\n  <ul class=\"gf-services-list\">\n    <li>Pine cremation container<\/li>\n    <li>Maximum of 10 people<\/li>\n    <li>15-minute visitation<\/li>\n  <\/ul>\n<\/div><\/div><div id=\"field_13_53\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class=\"gf-services-inclus\">\n<h6>Intimate Farewell<\/h6>\n  <p class=\"gf-services-title\">Included Services<\/p>\n  <ul class=\"gf-services-list\">\n    <li>Administrative fees and service coordination<\/li>\n    <li>Care and transportation of the deceased<\/li>\n    <li>Full management of administrative procedures\n      <ul class=\"gf-services-sublist\">\n        <li>Declaration of death to the Directeur de l\u2019\u00e9tat civil (Quebec)<\/li>\n        <li>Simplicia Cremation death certificates<\/li>\n        <li>Submission to the Quebec Pension Plan (QPP)<\/li>\n      <\/ul>\n    <\/li>\n    <li>Private cremation (maximum weight of 249 lbs)<\/li>\n    <li>Cremation container and temporary urn<\/li>\n    <li>Delivery of ashes\n      <ul class=\"gf-services-sublist\">\n        <li>At home (locally)<\/li>\n        <li>Shipping via Canada Post \u2013 priority service (signature and ID required)<\/li>\n      <\/ul>\n    <\/li>\n    <li>Online publication of an obituary notice <\/li>\n  <\/ul>\n<p class=\"gf-services-title\" style=\"margin-top: 20px;\">Intimate Farewell<\/p>\n  <ul class=\"gf-services-list\">\n    <li>With embalming<\/li>\n    <li>Pine cremation container<\/li>\n    <li>Use of visitation room<\/li>\n    <li>Maximum of 10 people<\/li>\n    <li>15-minute visitation<\/li>\n  <\/ul>\n<\/div><\/div><div id=\"field_13_72\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class=\"gf-inclus-field\">\n  <span class=\"gf-inclus-label\">Pacemaker removal (+$133)<\/span>\n  <span class=\"gf-inclus-badge\">Add<\/span>\n<\/div><\/div><div id=\"field_13_73\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class=\"gf-inclus-field\">\n  <span class=\"gf-inclus-label\">Deceased weight over 249 lbs (+$615)<\/span>\n  <span class=\"gf-inclus-badge\">Add<\/span>\n<\/div><\/div><div id=\"field_13_77\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class=\"gf-inclus-field\">\n  <span class=\"gf-inclus-label\">Deceased weight over 249 lbs (+$700)<\/span>\n  <span class=\"gf-inclus-badge\">Add<\/span>\n<\/div><\/div><div id=\"field_13_74\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class=\"gf-inclus-field\">\n  <span class=\"gf-inclus-label\">Deceased weight over 249 lbs (+$700)<\/span>\n  <span class=\"gf-inclus-badge\">Add<\/span>\n<\/div><\/div><div id=\"field_13_75\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class=\"gf-inclus-field\">\n  <span class=\"gf-inclus-label\">Copy of an act of death from le Directeur de l\u2019\u00e9tat civil (Quebec) (+46,75$)<\/span>\n  <span class=\"gf-inclus-badge\">Add<\/span>\n<\/div><\/div><div id=\"field_13_26\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class=\"gf-non-offert-field\">\n  <span class=\"gf-non-offert-label\">Physical contact with the deceased<\/span>\n  <span class=\"gf-non-offert-badge\">Not offered in this service<\/span>\n<\/div><\/div><div id=\"field_13_27\" class=\"gfield gfield--type-product gfield--input-type-hiddenproduct gfield--width-full gform_hidden gfield_price gfield_price_13_27 gfield_product_13_27 gfield_hidden_product field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_13_27_1'>Direct Cremation Service<\/label><div class='ginput_container ginput_container_product_price_hidden'><input type='hidden' name='input_27.3' value='1' id='ginput_quantity_13_27' class='gform_hidden' \/><input type='hidden' name='input_27.1' value='Direct Cremation Service' class='gform_hidden' \/><input name='input_27.2' id='ginput_base_price_13_27' type='hidden' value='$ 0.00 CAD' class='gform_hidden ginput_amount' \/><\/div><\/div><div id=\"field_13_28\" class=\"gfield gfield--type-product gfield--input-type-hiddenproduct gfield--width-full gform_hidden gfield_price gfield_price_13_28 gfield_product_13_28 gfield_hidden_product field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_13_28_1'>Crematorium Gathering Service<\/label><div class='ginput_container ginput_container_product_price_hidden'><input type='hidden' name='input_28.3' value='1' id='ginput_quantity_13_28' class='gform_hidden' \/><input type='hidden' name='input_28.1' value='Crematorium Gathering Service' class='gform_hidden' \/><input name='input_28.2' id='ginput_base_price_13_28' type='hidden' value='$ 0.00 CAD' class='gform_hidden ginput_amount' \/><\/div><\/div><div id=\"field_13_29\" class=\"gfield gfield--type-product gfield--input-type-hiddenproduct gfield--width-full gform_hidden gfield_price gfield_price_13_29 gfield_product_13_29 gfield_hidden_product field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_13_29_1'>Intimate Farewell Service<\/label><div class='ginput_container ginput_container_product_price_hidden'><input type='hidden' name='input_29.3' value='1' id='ginput_quantity_13_29' class='gform_hidden' \/><input type='hidden' name='input_29.1' value='Intimate Farewell Service' class='gform_hidden' \/><input name='input_29.2' id='ginput_base_price_13_29' type='hidden' value='$ 0.00 CAD' class='gform_hidden ginput_amount' \/><\/div><\/div><div id=\"field_13_30\" class=\"gfield gfield--type-product gfield--input-type-hiddenproduct gfield--width-full gform_hidden gfield_price gfield_price_13_30 gfield_product_13_30 gfield_hidden_product field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_13_30_1'>Weight surcharge<\/label><div class='ginput_container ginput_container_product_price_hidden'><input type='hidden' name='input_30.3' value='1' id='ginput_quantity_13_30' class='gform_hidden' \/><input type='hidden' name='input_30.1' value='Weight surcharge' class='gform_hidden' \/><input name='input_30.2' id='ginput_base_price_13_30' type='hidden' value='$ 0.00 CAD' class='gform_hidden ginput_amount' \/><\/div><\/div><div id=\"field_13_78\" class=\"gfield gfield--type-product gfield--input-type-hiddenproduct gfield--width-full gform_hidden gfield_price gfield_price_13_78 gfield_product_13_78 gfield_hidden_product field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_13_78_1'>Weight surcharge Crematorium Gathering<\/label><div class='ginput_container ginput_container_product_price_hidden'><input type='hidden' name='input_78.3' value='1' id='ginput_quantity_13_78' class='gform_hidden' \/><input type='hidden' name='input_78.1' value='Weight surcharge Crematorium Gathering' class='gform_hidden' \/><input name='input_78.2' id='ginput_base_price_13_78' type='hidden' value='$ 0.00 CAD' class='gform_hidden ginput_amount' \/><\/div><\/div><div id=\"field_13_40\" class=\"gfield gfield--type-product gfield--input-type-hiddenproduct gfield--width-full gform_hidden gfield_price gfield_price_13_40 gfield_product_13_40 gfield_hidden_product field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_13_40_1'>Weight surcharge Intimate Farewell<\/label><div class='ginput_container ginput_container_product_price_hidden'><input type='hidden' name='input_40.3' value='1' id='ginput_quantity_13_40' class='gform_hidden' \/><input type='hidden' name='input_40.1' value='Weight surcharge Intimate Farewell' class='gform_hidden' \/><input name='input_40.2' id='ginput_base_price_13_40' type='hidden' value='$ 0.00 CAD' class='gform_hidden ginput_amount' \/><\/div><\/div><div id=\"field_13_31\" class=\"gfield gfield--type-product gfield--input-type-hiddenproduct gfield--width-full gform_hidden gfield_price gfield_price_13_31 gfield_product_13_31 gfield_hidden_product field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_13_31_1'>Pacemaker removal<\/label><div class='ginput_container ginput_container_product_price_hidden'><input type='hidden' name='input_31.3' value='1' id='ginput_quantity_13_31' class='gform_hidden' \/><input type='hidden' name='input_31.1' value='Pacemaker removal' class='gform_hidden' \/><input name='input_31.2' id='ginput_base_price_13_31' type='hidden' value='$ 0.00 CAD' class='gform_hidden ginput_amount' \/><\/div><\/div><div id=\"field_13_76\" class=\"gfield gfield--type-product gfield--input-type-hiddenproduct gfield--width-full gform_hidden gfield_price gfield_price_13_76 gfield_product_13_76 gfield_hidden_product field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_13_76_1'>Copy of the Quebec death certificate<\/label><div class='ginput_container ginput_container_product_price_hidden'><input type='hidden' name='input_76.3' value='1' id='ginput_quantity_13_76' class='gform_hidden' \/><input type='hidden' name='input_76.1' value='Copy of the Quebec death certificate' class='gform_hidden' \/><input name='input_76.2' id='ginput_base_price_13_76' type='hidden' value='$ 0.00 CAD' class='gform_hidden ginput_amount' \/><\/div><\/div><div id=\"field_13_41\" class=\"gfield gfield--type-total gfield--input-type-total gfield--width-full gfield_price gfield_price_13_ gfield_total gfield_total_13_ field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" ><label class='gfield_label gform-field-label' for='input_13_41'>Summary<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_41' id='input_13_41' value='$ 0.00 CAD' class='gform-text-input-reset ginput_total ginput_total_13' \/>\n\t\t\t\t\t\t<\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_13_58' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_13_58' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next Step'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_13_3' class='gform_page' data-js='page-field-id-58' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_13_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_13_61\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Deceased Information<\/h2>\n<p>At this stage, please enter the personal information of the deceased.\u200b This information is essential to complete the file and proceed with the necessary arrangements. <\/p><\/div><div id=\"field_13_59\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class=\"gf-help-box\"><h3>Need help?<\/h3><p>We understand that this can be a difficult time and that many questions may arise when choosing cremation services for your loved one. Our mission is to simplify the process and support you, so\nyou can make decisions with confidence. Please do not hesitate to contact us \u2014 we would be honored to assist you. We respect your privacy. Your information is secure and will never be shared.<\/p><\/div><\/div><div id=\"field_13_42\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3>Information about the person responsible <\/h3><\/div><fieldset id=\"field_13_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Full name<\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_13_1'>\n                            \n                            <span id='input_13_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_13_1_3' value=''   aria-required='false'   placeholder='First name'  \/>\n                                                    <label for='input_13_1_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_13_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_13_1_6' value=''   aria-required='false'   placeholder='Last name'  \/>\n                                                    <label for='input_13_1_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_13_4\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_4'>Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_4' id='input_13_4' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_13_3\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_3'>Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_3' id='input_13_3' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_13_44\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3>Information about the deceased<\/h3><\/div><fieldset id=\"field_13_6\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name of the deceased<\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_13_6'>\n                            \n                            <span id='input_13_6_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_6.3' id='input_13_6_3' value=''   aria-required='false'   placeholder='First name'  \/>\n                                                    <label for='input_13_6_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_13_6_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_6.6' id='input_13_6_6' value=''   aria-required='false'   placeholder='Last name'  \/>\n                                                    <label for='input_13_6_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_13_7\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Place of death<\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_13_7' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_13_7_1_container' >\n                                        <input type='text' name='input_7.1' id='input_13_7_1' value=''   placeholder='Adress' aria-required='false'    \/>\n                                        <label for='input_13_7_1' id='input_13_7_1_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_13_7_3_container' >\n                                    <input type='text' name='input_7.3' id='input_13_7_3' value=''   placeholder='City' aria-required='false'    \/>\n                                    <label for='input_13_7_3' id='input_13_7_3_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_13_7_4_container' >\n                                        <input type='text' name='input_7.4' id='input_13_7_4' value=''     placeholder='Province' aria-required='false'    \/>\n                                        <label for='input_13_7_4' id='input_13_7_4_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_13_7_5_container' >\n                                    <input type='text' name='input_7.5' id='input_13_7_5' value=''   placeholder='Postal code' aria-required='false'    \/>\n                                    <label for='input_13_7_5' id='input_13_7_5_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_13_7_6_container' >\n                                        <select name='input_7.6' id='input_13_7_6'   aria-required='false'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' selected='selected'>Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_13_7_6' id='input_13_7_6_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_13_47\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>We respect your privacy. Your information is secure and will never be shared.<\/p><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_13_55' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_13_55' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next Step'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_13_4' class='gform_page' data-js='page-field-id-55' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_13_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_13_62\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Confirm the Selection<\/h2>\n<p>At this stage, you are invited to confirm the selected services, authorize the transfer of the \ndeceased, and accept the associated release. A member of our team will contact you promptly \nby phone and email to confirm the service and verify the information provided. <\/p>\n<\/div><div id=\"field_13_64\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class=\"gf-help-box\"><h3>What are the next steps?<\/h3><p><strong>Form to complete<\/strong><br>A detailed form will be sent by email to the responsible person to collect all the required information for preparing the file and requesting official documents.<\/p><p><strong>Payment and transfer of the deceased <\/strong><br>An invoice will be attached to the email. The transfer of the deceased will be carried out upon receipt of payment.<\/p><\/div><\/div><div id=\"field_13_66\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class=\"gf-help-box\"><h3>Release and authorization for the transfer of the deceased<\/h3>\n<p>I hereby authorize Simplicia Cremation to proceed with the transfer of the deceased and the commencement of the associated funeral services.<br>\nI acknowledge that I have provided, to the best of my knowledge, complete and accurate \ninformation necessary for the preparation of the file and administrative procedures.<br>\nI understand that this authorization allows Simplicia Cremation to carry out the transportation of the deceased, as well as the steps required for the preparation of the cremation, in accordance with the selected services.<br>\u200b\nI release Simplicia Cremation, its representatives, and partners from any liability related to the information provided or decisions made under this authorization.<br>\nBy checking this box, I agree to the above terms and confirm my consent for the start of services. <\/p><\/div><\/div><fieldset id=\"field_13_65\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >D\u00e9charge et autorisation de prise en charge du d\u00e9funt<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_65.1' id='input_13_65_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_13_65_1' >I agree and authorize  &nbsp;<span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/label><input type='hidden' name='input_65.2' value='I agree and authorize  &nbsp;' class='gform_hidden' \/><input type='hidden' name='input_65.3' value='8' class='gform_hidden' \/><\/div><\/fieldset><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_13' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='submit' id='gform_submit_button_13' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Confirm'  \/> \n            <input 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