Authorization for Posting Picture

I do hereby give Affordable Cremations of Virginia, permission to utilize the picture I have supplied. I understand, that unless otherwise stipulated, the picture will be used primarily for the purpose of the newspaper obituary, online obituary, service programs, acknowledgement cards and/or Affordable Cremations of Virginia’s parent company website.


The deceased photo may be delivered to Affordable Cremations of Virginia by: Faxing to 757.550.2150 or by emailing a picture or copy of your drivers license in this form.
Click or drag a file to this area to upload.