iCare Aftercare Program New Client Sign Up Form
Your Company Information
FUNERAL HOME NAME
*
Address
*
City
*
State
*
Zip Code
*
Phone Number
*
Anticipated number of calls per year.
WebSite Address
Funeral Director License Number
Insurance License Number
Contact Name
The contact name that you provide will be inserted on all mailings. ie: Funeral Home Owner
First Name
*
Mid Initial
Last Name
*
Job Title
*
Email
*
Cell Phone
Email Contact
YES
NO
Please let us know if you would like to be included on our monthly email reminder to submit your families.
How did you hear about the iCare program?
Program Choice
You have the option to participate in different programs for different family needs. You will need to complete a new form for each program and will be assigned a unique fulfillment number for each program.
Program Choice
Icare Program
iCare Library Subscription Monthly $99.00 per month
iCare Library Subscription Yearly $950.00 per year
Pre-need Email Program
Customized Options
Included is a return address custom imprint on all mailing pieces. If you have multiple locations, you have the option to customize your subscriptions for each separate location. You will need to complete a New Customer Sign Up Form for each location and you will be assigned a unique number that you must use for those contact name submissions.
Logo Specifications
Logo Specifications: When submitting your company logo, "web ready" artwork is required. We can't use a pdf of your letterhead. If your address information is in the logo, please note that your address will be printed below the logo. Logos that fail to meet our basic specifications cannot be added.WEB READY LOGOS:File format: GIF or Vector File Version (NO ADDRESS INFORMATION IN THE LOGO!)Image Size: Not to exceed 250 pixels by 250 pixelsFile Size: Not to exceed 30KTransparency: YESEmail Logo to: LF6643@yahoo.com
Upload your logo
Additional Information
Once we receive your "New Customer" Sign up, you will receive an email that will include your unique customer number. This is the number you will need to submit your family subscriptions. Please call: Linda Findlay at 315-725-6132 if you have any questions. Thank you.Please include any additional information that you feel we may need. Thank you.
Additional Information
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