{"id":86,"date":"2021-04-18T23:10:11","date_gmt":"2021-04-18T23:10:11","guid":{"rendered":"https:\/\/ramc.co.nz\/wordpress_5\/?page_id=86"},"modified":"2021-04-18T23:10:21","modified_gmt":"2021-04-18T23:10:21","slug":"pre-arrangement-form","status":"publish","type":"page","link":"https:\/\/ramc.co.nz\/wordpress_5\/pre-arrangement-form\/","title":{"rendered":"PRE-ARRANGEMENT FORM"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f82-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"82\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/wordpress_5\/wp-json\/wp\/v2\/pages\/86#wpcf7-f82-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"82\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.1\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f82-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<p>A copy of this form can be given to your solicitor with a further copy being given to The Funeral Director to be kept in their company\u2019s funeral pre-arrangement file.<br \/>\n&nbsp;<br \/>\n<label> Your Name (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span> <\/label>\n<\/p>\n<p><label> Your Email (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/label>\n<\/p>\n<p><label> Venue for Service<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Venue-for-Service\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Venue-for-Service\" \/><\/span><\/label>\n<\/p>\n<p><label> Burial or Cremation<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Burial-or-Cremation\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Burial-or-Cremation\" \/><\/span><\/label>\n<\/p>\n<p><label> Music\/Hymns<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Music-Hymns\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Music-Hymns\" \/><\/span><\/label>\n<\/p>\n<p><label> Officiant\/Celebrant<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Officiant-Celebrant\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Officiant-Celebrant\" \/><\/span><\/label>\n<\/p>\n<p><label> Flowers<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Flowers\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Flowers\" \/><\/span><\/label>\n<\/p>\n<p><label> Donations to<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Donations-to\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Donations-to\" \/><\/span><\/label>\n<\/p>\n<p>All deaths that occur in New Zealand are required to be registered at the Department of Internal Affairs. The following information is requested<br \/>\n&nbsp;<br \/>\n<label> Full name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Full-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Full-name\" \/><\/span><\/label>\n<\/p>\n<p><label> Name at Birth (if different)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Name-at-Birth-if-different\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Name-at-Birth-if-different\" \/><\/span><\/label>\n<\/p>\n<p><label> Address<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Address\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"Address\"><\/textarea><\/span><\/label>\n<\/p>\n<p><label> Occupation<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Occupation\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Occupation\" \/><\/span><\/label>\n<\/p>\n<p><label> Date of Birth<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Date-of-Birth\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Date-of-Birth\" \/><\/span><\/label>\n<\/p>\n<p><label> Place of Birth<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Place-of-Birth\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Place-of-Birth\" \/><\/span><\/label>\n<\/p>\n<p><label> Ethnic Origin<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Ethnic-Origin\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Ethnic-Origin\" \/><\/span><\/label>\n<\/p>\n<p><label> War Service Number<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"War-Service-Number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"War-Service-Number\" \/><\/span><\/label>\n<\/p>\n<p><label> War<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"War\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"War\" \/><\/span><\/label>\n<\/p>\n<p><label> Rank<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Rank\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Rank\" \/><\/span><\/label>\n<\/p>\n<p><label> Unit\/Regiment<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Unit-Regiment\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Unit-Regiment\" \/><\/span><\/label>\n<\/p>\n<p><label> Father\u2019s Full Name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Fathers-Full-Name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Fathers-Full-Name\" \/><\/span><\/label>\n<\/p>\n<p><label> Father\u2019s Occupation<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Fathers-Occupation\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Fathers-Occupation\" \/><\/span><\/label>\n<\/p>\n<p><label> Mother\u2019s Full Name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Mothers-Full-Name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Mothers-Full-Name\" \/><\/span><\/label>\n<\/p>\n<p><label> Mother\u2019s Occupation<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Mothers-Occupation\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Mothers-Occupation\" \/><\/span><\/label>\n<\/p>\n<p><label> Mother\u2019s Maiden Name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Mothers-Maiden-Name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Mothers-Maiden-Name\" \/><\/span><\/label>\n<\/p>\n<p><label> Spouse\u2019s Full Name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Spouses-Full-Name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Spouses-Full-Name\" \/><\/span><\/label>\n<\/p>\n<p><label> Place of Marriage<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Place-of-Marriage\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Place-of-Marriage\" \/><\/span><\/label>\n<\/p>\n<p><label> Age at Marriage<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Age-at-Marriage\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Age-at-Marriage\" \/><\/span><\/label>\n<\/p>\n<p><label> Daughter\u2019s Date of Birth<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Daughters-Date-of-Birth\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Daughters-Date-of-Birth\" \/><\/span><\/label>\n<\/p>\n<p><label> Son\u2019s Date of Birth<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Sons-Date-of-Birth\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Sons-Date-of-Birth\" \/><\/span><\/label>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":7,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-86","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/ramc.co.nz\/wordpress_5\/wp-json\/wp\/v2\/pages\/86","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ramc.co.nz\/wordpress_5\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ramc.co.nz\/wordpress_5\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ramc.co.nz\/wordpress_5\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/ramc.co.nz\/wordpress_5\/wp-json\/wp\/v2\/comments?post=86"}],"version-history":[{"count":2,"href":"https:\/\/ramc.co.nz\/wordpress_5\/wp-json\/wp\/v2\/pages\/86\/revisions"}],"predecessor-version":[{"id":88,"href":"https:\/\/ramc.co.nz\/wordpress_5\/wp-json\/wp\/v2\/pages\/86\/revisions\/88"}],"wp:attachment":[{"href":"https:\/\/ramc.co.nz\/wordpress_5\/wp-json\/wp\/v2\/media?parent=86"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}