Become a member

Salutation:

Mr. Ms. Other

Last Name:

First Name:

Address:

City:

Postal Code:

Province:

Country:

Email:

Phone Number:

Alternate Contact Phone:

Birth Date:

At the time of death, I want my social shares to be:

Given back to Résidences funéraires Cass inc. as a contribution towards its development
Redistributed to my succession
Transfered to

Newsletter :

I wish to receive the Cooperative's newsletter

Information :

Would you like to obtain, without obligation on your part, more information about pre-arrangements?

How did your hear about us?

From friend or family
Google
Attended a presentation
News media
Advertisement (community paper, radio, bus, etc)
Building sign
Facebook
Other (specify)

Preferred language for communication :

French
English

Comment:

Verification :

Please check to confirm that you are not a robot.

This procedure is to prevent spam emails.

Become a member

Subscribe

Subscribe to our mailing list