Step #1: Print out this page. You can print this page out by turning on your printer and clicking HERE . (Note: You can also print out this page by clicking on "file" then "print". If the page fails to print or if you do not have a printer - just copy this page, by hand, with pen and paper.)
Step #2: After printing this form, fill it out. (Note: You MUST provide a phone number; we will not give your message to a messenger until we have contacted you by phone.)
Step #3: After filling out this form, mail it (along with your payment) to:

Your Phone Number (include area code): ( _____ ) ______ - ________

Sender's Name: _________________ ____ ___________________
(The sender is the person sending the telegram.)
Addressee's Name: ______________ ____ ___________________
(The addressee is the deceased person you are sending the telegram to.)
The Message:
(Please print clearly. Must be in English. Cost is $5 per word. 5 word minimum.)
________________________________________________________
________________________________________________________
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Can the addressee understand English? YES___ NO___
If "NO" what language will the addressee understand? ______________
The cost for this message is $5 per word.
How many words are in your message? _____
What is that number multiplied by $5? $______
(This is the total cost of your message in United States Dollars)
How would you like to pay for this total?
Personal Check / Cashier's Check / Money Order?
___ I have enclosed a personal check for $ ______ .
___ I have enclosed a cashier's check for $ ______ .
___ I have enclosed a money order for $ ______ .
Please do not send cash.

How to send your telegram and payment by mail: