Subscribe by RSS or Email | View Mobile Site

Obituary Submission Form

This form can be used to submit an obituary publication request for publication in the Woodburn Independent, Canby Herald, Molalla Pioneer and/or Wilsonville Spokesman newspapers.

IMPORTANT INFORMATION Please note: Each submittal must have a contact name and telephone number where we can verify the information before publication. If we are unable to verify the information we will be unable to publish the information.

*Indicates required fields.

Name and age of the deceased:

*

Gender:

Male: Female: *

Enter the date of death:

*

Place and cause of death:

*

Enter the date of birth:

*

Where was the deceased born?

*

Parents names:

Please supply a brief summary of schooling, and early life of the deceased:

Please supply the date and place of the marriage and the spouse's name/maiden name:

Brief summary of career, military service and other important events in the deceased person's life:

What organizations, churches, civic groups did the deceased belong to?

Survivors (immediate family only). List hometown of each please. Please Note: List grandchildren, great-grandchildren, nieces, etc. by number only. i.e. "13 grandchildren". *

Please supply the date, time and place of services for the deceased *

Place of burial:

*

Name and phone number of the funeral home in charge *

Memorial contributions to?

Also publish announcement in:

Canby Herald:
Molalla Pioneer:
Wilsonville Spokesman:

Photo will be submitted by:

Email: In person:

Contact Name:

*

Email Address:

*

Contact Phone:

*

Work Phone:

Please provide a name and number of someone that we can contact to verify this information and/or questions. PLEASE NOTE: THIS IS A REQUIRED FIELD AND MUST BE FILLED IN FOR PUBLICATION.

Pictures are welcome and can be e-mailed to info@woodburnindependent.com or they can be dropped off or mailed with a copy of this form and a self addressed return envelope to Woodburn Independent, P.O. Box 96, 650 N. First St., Woodburn, OR 97071.  If you have any question you can call Woodburn Independent at 503-981-3441.

 
If nobody knows what's going on, nobody can do anything about it. Public notices free and in your inbox: publicnoticeads.com/or