Memorial Announcement Form There was an error trying to submit your form. Please try again. Sunland Village East 2145 South Farnsworth Drive – Mesa, Arizona 85209Phone: (480) 380-0106 Memorial Announcement Form In order to ensure that Memorial Announcements contain only information requested by the family, we require that this form be submitted to the office by a family member. Name: * This field is required. Email: * This field is required. Relationship to Deceased: * This field is required. Phone Number: * This field is required. Name of Deceased: * This field is required. Surviving Spouse: This field is required. Date of Death: * mm/dd/yyyy This field is required. Place of Death: * This field is required. SVE Residence of Deceased: Address Line 1 * This field is required. Address Line 2 This field is required. City This field is required. State This field is required. Postal Code This field is required. Funeral or Memorial Date: * mm/dd/yyyy This field is required. Funeral or Memorial Time: * 12:00 AM 12:30 AM 01:00 AM 01:30 AM 02:00 AM 02:30 AM 03:00 AM 03:30 AM 04:00 AM 04:30 AM 05:00 AM 05:30 AM 06:00 AM 06:30 AM 07:00 AM 07:30 AM 08:00 AM 08:30 AM 09:00 AM 09:30 AM 10:00 AM 10:30 AM 11:00 AM 11:30 AM 12:00 PM 12:30 PM 01:00 PM 01:30 PM 02:00 PM 02:30 PM 03:00 PM 03:30 PM 04:00 PM 04:30 PM 05:00 PM 05:30 PM 06:00 PM 06:30 PM 07:00 PM 07:30 PM 08:00 PM 08:30 PM 09:00 PM 09:30 PM 10:00 PM 10:30 PM 11:00 PM 11:30 PM This field is required. Funeral or Memorial Location: Address Line 1 * This field is required. Address Line 2 This field is required. City This field is required. State This field is required. Postal Code This field is required. If you wish the email announcement to contain special information related to the deceased, please state that information below in 100 words or less: * This field is required. Obituary: * Please note: SVE personnel cannot be responsible for typos or other misspelling of information that is provided This field is required. Do you wish for the announcement to appear in the Outlook? (Name & Date of Death, only) * Select an option Yes No This field is required. Do you wish the announcement to appear on our Memorial Board? * Select an option Yes No This field is required. Please add any additional information you feel we may want or need: * This field is required. Submit There was an error trying to submit your form. Please try again.